Discharge Form - Department of Public Health & Human Services - dphhs mt 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the client's name and account number at the top of the form. Ensure accuracy as this information is crucial for identification.
  3. Fill in the program number and facility details, followed by the discharge date in the specified format (mmddyyyy).
  4. Indicate the referring program and agency by providing a brief description. This helps maintain continuity of care.
  5. Select a discharge reason from the provided options, ensuring you check only one box that best describes the situation.
  6. Document any arrests in the last 30 days and indicate employment status at discharge by checking the appropriate box.
  7. If applicable, provide details on living arrangements and participation in self-help groups over the past month.
  8. Finally, confirm if all required attachments are included before finalizing your discharge data set.

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