Discharge consultation 2026

1. Click ‘Get Form’ to open the discharge consultation document in the editor.
2. Begin by entering the Member Name, Date of Birth (DOB), and Member ID# in the designated fields. Ensure accuracy for proper identification.
3. Fill in the Parent/Guardian's name, address, and phone number. Specify the best time to reach them for follow-up communication.
4. Provide details for emergency contacts and outpatient therapists, including their names and phone numbers.
5. Indicate the date of the next appointment and case manager information if applicable. Include psychiatrist details as well.
6. Answer whether the member has medication to last until the follow-up appointment by selecting 'Yes' or 'No'.
7. Document any additional follow-up appointments and their respective providers' contact information.
8. Complete sections regarding discharge diagnosis, including primary, secondary, tertiary diagnoses, and medications at discharge.
9. Finally, ensure signatures from both facility staff and member/guardian are included along with dates of admission/discharge.

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