Write a 700-1,050-word summary statement about your client, Eliza.
CNL-610: Topic 8 Discharge Summary Template
Directions: Complete the Discharge Summary form by addressing the fields below.
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Client Name: Click or tap here to enter text. |
Date of Birth: [MM/DD/YYYY] |
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Date of Admission: [MM/DD/YYYY] |
Date of Discharge: [MM/DD/YYYY] |
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Presenting Problem Upon Admission: [State the client's presenting problem upon admission. What behaviors would indicate that the client is sustaining at a healthy baseline or the presenting problems are no longer an issue?] Click or tap here to enter text.
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Current Medication: [List the client's current medications, if applicable.] Click or tap here to enter text. |
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Reason for Discharge: [State the client's reason for discharge. How did you determine if Eliza met her treatment goals?] Click or tap here to enter text.
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Resources and Referrals: [List the client's resources and referrals. Based on your assessment of current symptomology, does your client, Eliza, need wraparound services, outpatient references, and/or step-down services?] Click or tap here to enter text.
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Projected Prognosis: [State the client's projected prognosis.] Click or tap here to enter text.
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Eliza D 00/00/00 |
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<sign and date here> |
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Client Signature & Date |
Counselor’s Signature & Date |
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