Part 1: Using the revised treatment plan completed in Topic 7, complete a discharge summary for your client using the "Discharge Summary" template. This discharge summary should address the following:

Part 1: Using the revised treatment plan completed in Topic 7, complete a discharge summary for your client using the "Discharge Summary" template. This discharge summary should address the following: 1

Topic 8 Discharge Summary Template

Directions: Complete the Discharge Summary form by addressing the fields below.

Presenting Problem Upon Admission:

[State the client's presenting problem upon admission here.]

Client Name: [Enter the client's name here]	Date of Birth: [MM/DD/YYYY]
Date of Admission: [MM/DD/YYYY]	Date of Discharge: [MM/DD/YYYY]

Current Medication:

[List the client's current medications here.]

Reason for Discharge:

[State the client's reason for discharge here.]

Resources and Referrals:

[List the client's resources and referrals here.]

Projected Prognosis:

[State the client's projected prognosis here.]

Eliza D 00/00/00		<sign and date here>
Client Signature & Date			Case Manager Signature & Date