Emergency room discharge papers template 2025

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Typically, emergency room discharge papers include the patients name, date of birth, date of discharge, diagnosis, any treatments or tests received, medications prescribed, follow-up instructions, and any special notes or instructions from the treating physician.
How to fill out hospital discharge papers? Enter your personal information including your name, address, and contact information. List the date of your admission and the date of your discharge. Describe your diagnosis and condition at discharge. List the medications and treatments you received during your stay.
Your hospital discharge document will contain critical instructions for care after youve left the hospitalbut you also need to deliver this document to your primary care doctor.
Many hospitals have a discharge planner. This person helps coordinate the information and care youll need after you leave. Youll need to understand your injury or illness.
Some people leave the ER without being seen by a healthcare provider. A common reason is long wait times. 8 You are free to leave but then you may not receive the care you need in a timely manner. Dont leave the hospital without first talking to the ER staff.
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