Discharge Notification Form

This form is used to formally notify the client and caregiver that [Company] will discontinue services effective as of the discharge date identified in this document. The discharge is documented through the Service Discharge, Transition, and Case Closure Form, which outlines the reason for discharge, transition recommendations, and any applicable follow-up actions. Notification will be provided to the prescribing physician and other authorized professionals, as appropriate and consistent with applicable privacy requirements. Following discharge, [Company] remains available to provide copies of records, treatment summaries, and coordination of care information, upon appropriate request and authorization, to support continuity of services and facilitate a smooth transition to other providers when applicable.