Behavioral health inpatient 2026

1. Click ‘Get Form’ to open the Behavioral Health Discharge Note in the editor.
2. Begin by entering the date at the top of the form. This is crucial for record-keeping.
3. Fill in the contact information section, including member name, ID number, date of birth, address, and phone number.
4. Provide details about the facility, including its name and NPI number, along with admission and discharge dates.
5. Indicate where the member is being discharged to (e.g., home, foster care) and provide relevant addresses and phone numbers.
6. Complete the ICD-10 discharge diagnoses section by listing all applicable diagnoses.
7. Answer questions regarding discharge against medical advice (AMA) and whether information was sent to primary care providers.
8. Detail any referrals included in the discharge plan and ensure all necessary comments are provided.
9. List any medications prescribed at discharge along with their details such as dose and frequency.
10. Schedule aftercare appointments within seven days and provide provider contact information for each appointment.

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