Get Agency Discharge Checklist

Filling out the Agency Discharge Checklist online is a crucial step in ensuring a smooth transition for a patient. This guide will walk you through each section of the checklist, providing clear and supportive instructions to help you complete the form accurately.

Follow the steps to complete the Agency Discharge Checklist effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the room number in the designated field to specify the patient's current location.
3. Input the patient's last name to clearly identify the individual associated with this checklist.
4. Fill in the date of discharge to ensure accurate record-keeping.
5. Specify the destination by writing the name of the facility where the patient is being discharged.
6. Indicate transportation arrangements by filling in the relevant details.
7. Review the list of required documents and confirm each is prepared. Items include the fax cover sheet, face sheet, and a signed multi-disciplinary discharge plan.
8. Ensure that necessary documents such as the operative report, medication list, and healthcare directive are included where applicable.
9. Complete the facility and contact information fields, including the name of the facility and the phone number where assistance can be reached.
10. If oxygen is required, include an oxygen prescription in the appropriate section.
11. Once you have filled out all fields, revisit to confirm all information is accurate before proceeding.
12. After completing the checklist, you can save your changes, download the finalized document, print it, or share it as needed.

Start filling out the Agency Discharge Checklist online today to ensure a seamless discharge process.