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  • Nc Dhhs Sample Discharge Summary 2019

Get Nc Dhhs Sample Discharge Summary 2019-2025

Discharge Summary Client Name: Admitting Date: Date: Discharge/Termination Date:.

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How to fill out the NC DHHS Sample Discharge Summary online

Filling out the NC DHHS Sample Discharge Summary correctly is essential for ensuring a smooth transition for individuals being discharged from treatment. This guide provides clear and supportive instructions to help users navigate each section of the form effectively.

Follow the steps to complete the discharge summary online.

  1. Press the ‘Get Form’ button to access the NC DHHS Sample Discharge Summary and open it in your preferred online editor.
  2. Begin by entering the client's name in the designated field at the top of the form.
  3. Next, input the admitting date, which indicates when the client started treatment.
  4. Fill in the date of the summary and the discharge or termination date as applicable.
  5. Provide details about the admitting diagnosis in the corresponding section.
  6. Indicate the recommended treatment level by checking either 'Short Term' or 'Long Term'.
  7. Mark the appropriate box to confirm whether the client successfully completed the recommended treatment program, specifying Day Treatment or IOP as applicable.
  8. Document the total treatment program hours completed in the specified space.
  9. Select the nature of discharge by indicating if treatment was completed, if the client withdrew from treatment, or if they were transferred.
  10. Describe the treatment outcome, including attendance, participation, family involvement, 12 Step attendance, and treatment goals achieved.
  11. Outline the discharge plan by specifying the next steps for the individual post-discharge.
  12. List any referrals made in the section designed for that purpose.
  13. Enter the discharge diagnosis in the provided field.
  14. Complete the ASAM dimensions by evaluating each area at the time of discharge.
  15. Assign risk ratings in the designated section based on the assessment given during discharge.
  16. Ensure all signatures are in place. The counselor must sign and date the form while also providing printed name and credentials. If applicable, the client should sign and date as well.
  17. Review the completed form for accuracy before saving changes, downloading, printing, or sharing it as needed.

Start completing the NC DHHS Sample Discharge Summary online today to ensure a comprehensive and effective discharge process.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232