Medical
Hospital Release Form
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Hospital Release Form

1
Patient completes Hospital Release Form
2
Nurse collects and validates completed form
3
Validation of patient identity
4
Enter patient information into database
5
Approval: Nurse Supervisor for information input
6
Nurse prepares discharge instructions
7
Pharmacist prepares medications for release
8
Finalize patient's financial responsibilities
9
Approval: Financial Department for patient's financial clearance
10
Arrangement for patient transportation
11
Discuss instructions and medication plan with patient
12
Patient signs acknowledgment for discharge instructions
13
Nurse signs acknowledgment for discharge instructions
14
Approval: Doctor for discharge completion
15
Update patient status in the database to discharged
16
Generate copy of discharge summary for patient
17
Deliver the release form to Medical Records Department
18
File the release form in patient's record
19
Verification of patients belongings return
20
Patient is escorted to exit