Loading
Get Nc Dhhs Sample Discharge Summary 2019-2025
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
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.
- Press the ‘Get Form’ button to access the NC DHHS Sample Discharge Summary and open it in your preferred online editor.
- Begin by entering the client's name in the designated field at the top of the form.
- Next, input the admitting date, which indicates when the client started treatment.
- Fill in the date of the summary and the discharge or termination date as applicable.
- Provide details about the admitting diagnosis in the corresponding section.
- Indicate the recommended treatment level by checking either 'Short Term' or 'Long Term'.
- Mark the appropriate box to confirm whether the client successfully completed the recommended treatment program, specifying Day Treatment or IOP as applicable.
- Document the total treatment program hours completed in the specified space.
- Select the nature of discharge by indicating if treatment was completed, if the client withdrew from treatment, or if they were transferred.
- Describe the treatment outcome, including attendance, participation, family involvement, 12 Step attendance, and treatment goals achieved.
- Outline the discharge plan by specifying the next steps for the individual post-discharge.
- List any referrals made in the section designed for that purpose.
- Enter the discharge diagnosis in the provided field.
- Complete the ASAM dimensions by evaluating each area at the time of discharge.
- Assign risk ratings in the designated section based on the assessment given during discharge.
- 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.
- 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.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.