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Get Pa Mh 537 2007-2025
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How to fill out the PA MH 537 online
The PA MH 537 form is essential for documenting the aftercare plan and discharge details for individuals leaving state mental health facilities. This guide provides step-by-step instructions on how to complete the form online, ensuring that every detail is accurately captured.
Follow the steps to effectively complete the PA MH 537 form.
- Click ‘Get Form’ button to access the PA MH 537 and open it in the online editor.
- In Section 1, provide the patient's name in the format of last name, first name, and middle initial. Also include the state facility's name, the patient's 2-digit PCIS discharge code, a complete discharge address with zip code, telephone number with area code, and case numbers for both the state facility and BSU.
- In Section 2, indicate the county for both admission and discharge. Include the admission and discharge BSU 3-digit catchment area designation from the PCIS system. Enter the 4-digit involuntary outpatient commitment code at discharge and the date of birth in the format of mm/dd/yyyy.
- In Section 3, select at least one preferred option as directed.
- In Section 4, limit your choice to one option.
- In Section 5, list all medications including name, dosage, frequency, and the number of days worth of supplies provided at discharge. Include any necessary precautions, and indicate any medical care referrals made, along with the appointment details.
- In Section 6, list the Base Service Unit at discharge along with the time of aftercare appointment and the name of the liaison. If no appointment was made, provide an explanation and include the liaison's contact details. Confirm if a meeting occurred with the patient prior to discharge.
- In Section 7, indicate the source of income and the amount if known. If the patient is not a recipient, provide referral details, application status, and contact information for follow-ups regarding healthcare coverage.
- Once all sections are completed, save your changes, download a copy of the form for your records, and print or share it as needed to ensure it gets to the relevant parties.
Complete your PA MH 537 online today to ensure a smooth transition for individuals being discharged.
A patient registration form typically requests personal information such as name, date of birth, address, phone number, and insurance details. Additionally, it may ask for medical history and any allergies. The PA MH 537 serves as a comprehensive tool to ensure that you include all necessary information, ultimately helping healthcare providers offer you optimal care.
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