Get Private Hospitals Discharge Form

Filling out the Private Hospitals Discharge Form online is an essential step in ensuring proper discharge procedures and statistical reporting for hospitals. This guide provides a clear and concise walkthrough of each section of the form, allowing users to navigate the process with confidence.

Follow the steps to successfully complete the form online.

1. Press the ‘Get Form’ button to access the document and open it in your preferred editor.
2. Begin by entering the patient identification information. This includes the mandatory patient NHI, family name, first name, second name, and third name if applicable.
3. Proceed to the patient information section. Fill in the patient's date of birth, ethnicity, and sex (M or F). Indicate if the patient is a New Zealand resident (Y or N) and provide the patient's address details including suburb, city/town, postcode, and country/region.
4. Move to the event information part of the form. Enter the health facility name, HAF code, as well as the admission date and type. Record the discharge date and type, and identify the principal purchaser.
5. If applicable, provide details for infants born at the facility. This includes birth weight in grams and the mother's NHI. Include information on any postnatal/neonatal admissions (aged less than 29 days) by stating the gestation in weeks, mother's age, and weight on admission in grams.
6. Complete the diagnosis and procedure data section. Start with the principal diagnosis explaining the reason for admission, followed by any other diagnoses or procedures along with their respective dates.
7. Finally, review the supplementary information section if required. Once all necessary fields are filled, save changes, download, print, or share the completed form as needed.

Complete your Private Hospitals Discharge Form online today for a seamless discharge process.