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Hospital Discharge Template 2004-2022: get and sign the form in seconds

Hospital Discharge Template 2004-2022: get and sign the form in seconds

Use a hospital discharge form 2004 template to make your document workflow more streamlined.

Military time) Nursing Unit Representative Discharge to home / self care Discharge to other acute care facility Transferred to skilled nursing facility Transferred to intermediate care facility Transferred to another type facility Discharge to home health Left against medical advise (AMA) Expired Time of Discharge (use military time) Nursing Unit Representative SIGNATURE SIGNATURE This patient has cleared the Finance Office This patient has cleared the Finance Office Patient Account...
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