Get Pa Mh 537 2011-2025

Filling out the PA MH 537 form online can seem daunting, but with clear guidance, you can easily navigate each section. This document is essential for summarizing an individual's aftercare plan and discharge information from a state facility.

Follow the steps to complete the PA MH 537 effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with Section 1. Input the patient’s name in the format: last name, first name, middle initial. Enter the state facility where the patient was treated, specifying either a State Mental Hospital or a State Restoration Center. Include the patient's 2-digit PCIS discharge code and a complete discharge address with a zip code. Ensure the telephone number has the area code and include the case number from both the state facility and BSU.
3. Move to Section 2. Indicate the county name at the time of both admission and discharge. Complete the admission and discharge BSU fields with the 3-digit catchment area designation from the PCIS system. Enter the involuntary outpatient commitment code at discharge, followed by the patient's date of birth, which should be formatted as month, day, and four-digit year.
4. In Section 3, make sure to indicate at least one diagnosis that applies.
5. Proceed to Section 4. Choose one option that best describes the type of discharge.
6. In Section 5, list all psychotropic and other medications that the patient will continue, including their dosage and frequency. Also, indicate how many days' supply are provided at discharge and any precautions that need to be followed. For medical care referrals, specify if the patient has been referred to another service, including all necessary details.
7. Next, fill out Section 6 by indicating the base service unit at discharge, the scheduled time for the aftercare appointment, and the liaison's name. If no appointment was made, provide an explanation. Record the liaison’s contact number and confirm whether a meeting took place with the patient prior to discharge.
8. Lastly, complete Section 7. Indicate the source of income and amount known, and provide details if the patient is not a recipient of services. Include medical assistance number and plan number if applicable.
9. After filling out all sections thoroughly, review your entries for accuracy. Users can then save changes, download, print, or share the completed form.

Start filling out the PA MH 537 online today!