Get Discharge Consultation Documentation - Cenpatico

Filling out the Discharge Consultation Documentation is an essential step in ensuring a smooth transition after treatment. This guide provides clear, step-by-step instructions to help you accurately complete the form online.

Follow the steps to complete the form effectively:

1. Click ‘Get Form’ button to access the form and open it in your preferred editor.
2. Begin by entering the member's name in the designated field under 'Member Name'. Ensure to write the full name as it appears on official documents.
3. Fill in the 'Member DOB' (date of birth) using the format MM/DD/YYYY to ensure clarity.
4. Enter the 'Member ID #' which is required for identification purposes in the relevant field.
5. Provide the 'Member Address', ensuring to include street address, city, state, and zip code.
6. Fill in the 'Facility Name' where the member was treated and the corresponding 'Facility Fax number'.
7. Record the 'Member Phone' number to allow for future communications.
8. If applicable, fill in the 'Parent / Guardian Name' along with the 'Best Time to Reach' them.
9. Complete the fields for 'UM Name' and 'Emergency/Other Contact' information as needed.
10. List the 'Outpatient Therapist' and 'Psychiatrist' names along with their respective phone numbers.
11. Specify the 'Date of next appointment' for both outpatient therapy and psychiatric follow-up.
12. If a case manager is assigned, enter their name and phone number under 'Case Manager'.
13. Indicate whether the member has medication to last until the follow-up appointment by selecting 'Yes' or 'No'.
14. Document any other follow-up appointments along with the provider's name, type, and phone number.
15. Indicate if the member attended a 510 appointment during the discharge process and provide staff name and date if applicable.
16. Complete details about the primary, secondary, and tertiary ICD diagnoses as they pertain to the member.
17. List any medication provided at discharge and specify the discharge disposition, detailing where the member will stay.
18. Finally, gather signatures from the facility staff and the member or guardian, and fill out the date and time of discharge.
19. Once all information is filled out accurately, save changes, and download, print, or share the form as needed.

Complete your discharge consultation documentation online today for efficient follow-up care.