Though the specific details may vary between hospitals, patient discharge forms typically require the name and medical record number of the patient, documentation of her condition, and information about the person or entity responsible for her after the discharge. It may also include other details about her time at the hospital or instructions for future care.
Many hospitals require a patent's primary care physicians to fill out a discharge form when she leaves the facility after an extended visit, such as an overnight stay after a severe illness or several weeks of recovery following a surgical procedure. The forms typically begin with identifying information about the patient, such as her name, date of birth and the hospitals identification number for her. Some forms may also require additional personal details, such as weight, age or blood pressure as well as the date of her discharge and the name of the attending physician.
The form may also include a section to mark the reason for her initial stay as well as any special procedures or treatments she received during that time. Certain forms may also require the physician to explain the patent's current medical state and any recommendations for future treatments or visits. The form may also require a reason for the discharge along with the information for where she is going after leaving, such as returning home or entering an external care facility.