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Planning Checklist: For patients and their caregivers preparing to leave a hospital, nursing home, or other care setting11376.pdf

- http://www.medicare.gov/publications/pubs/pdf/11376.pdf 
Your Discharge Planning Checklist:
For patients and their caregivers preparing to leave a hospital, nursing home,
or other care setting


 During your stay, your doctor and the staff will work with you to plan for
your discharge. You and your caregiver (a family member or friend who may
be helping you) are important members of the planning team. Below is a
checklist of important things you and your caregiver should know to prepare
for discharge.


Instructions:

Use this checklist early and often during your stay.
Talk to your doctor and the staff (like a discharge planner, social worker, or nurse) about the items on the checklist.
 

Check the box next to each item when you and your caregiver complete it.
 

Use the notes column to write down important information
(like names and phone numbers).
 

Skip any items that don’t apply to you