Get Inpatient Notice Of Discharge Form Behavioral Health Cigna-healthspring

The Inpatient Notice Of Discharge Form Behavioral Health Cigna-HealthSpring is a critical document that records essential discharge information for individuals leaving inpatient care. This guide provides a clear, step-by-step approach to filling out the form online, ensuring that all necessary details are accurately captured for a smooth transition.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to access the form and open it for editing.
2. Begin by entering today’s date in the designated field, followed by the admission date.
3. Fill in the discharge date and the customer's name along with their customer ID number.
4. Provide the authorization number and the discharge facility details, including the planner's name and phone number.
5. Outline the discharge plans by specifying the type of housing the individual will be moving to, marking whether it is a new living arrangement.
6. If applicable, fill in the discharge phone number and address fields, followed by city, state, and zip code.
7. List any aftercare appointments by providing the provider's name, type, date, and time. If no appointment is scheduled, include a brief explanation.
8. Add any additional comments regarding the discharge plan.
9. Document the discharge diagnoses by entering the relevant ICD-10 codes and any prescribed psychotropic medications, including dosage and frequency.
10. Ensure to review all entries for accuracy, then proceed to save changes, download, print, or share the completed form as required.

Complete your discharge forms online to ensure a seamless transition.