Inpatient Notice of Discharge Form Behavioral Health Cigna-HealthSpring 2026

1. Click ‘Get Form’ to open the Inpatient Notice of Discharge Form in our editor.
2. Begin by entering today’s date and the admission date at the top of the form. This information is crucial for record-keeping.
3. Fill in the customer’s name and ID number, ensuring accuracy as this identifies the patient within the system.
4. Complete the discharge facility and planner details, including their phone number and extension for follow-up communication.
5. In the DISCHARGE PLANS section, specify the type of housing arrangement post-discharge. Indicate if this is a new living arrangement and provide a contact number and address.
6. List any aftercare appointments, including provider names, types, dates, and times. If no appointments are scheduled, provide an explanation in the designated area.
7. Document discharge diagnoses using ICD-10 codes and list any psychotropic medications along with their doses and frequencies.
8. Once completed, review all entries for accuracy before saving your work. You can then easily fax it to the Behavioral Health Unit as instructed.

Start using our platform today to streamline your document editing process for free!