Template library · Discharge & endings
Discharge Summary template
End-of-treatment summary capturing outcomes, recommendations, and relapse-prevention plan.
- 19 fields across 6 sections
- Included with MyWellOps
- Edit it, or save your own version
What’s in it
- ClientText
- Dates of serviceDate
- Total sessionsText
- Reason for dischargeChoice
Presenting Problems at Intake
- Presenting Problems at IntakeText
Diagnoses
- Diagnoses at admission (with codes)Text
- Diagnoses at discharge (current status / changes)Text
Course of Treatment
- Course of TreatmentText
Outcomes
- Goal 1 outcomeText
- Goal 2 outcomeText
- Symptom measures (baseline vs. current)Text
Recommendations
- Ongoing support / self-care strategiesText
- Referrals, if anyText
- Medication follow-upText
Relapse-Prevention Plan
- Warning signsText
- Coping strategiesText
- Who to contactText
- Clinician signatureSignature
- DateDate
When to use it
Complete a discharge summary when a course of treatment ends, so the record says why it ended, where the client got to and what follow-up was agreed.
How it works in MyWellOps
- Start it from the template on the client’s record.
- Summarise the work, outcomes and any follow-up or onward referral.
- Keep it on the record, and share it with the client if appropriate.
Spend less time on admin, more time with clients
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