DISCHARGE INSTRUCTIONS MD/MULTIUSE

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posted 2024-03-16, updated 2024-06-13
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Date of Admission: 
Date of Discharge: 
TYPE OF DISCHARGE:
DIAGNOSIS/PROCEDURE:
CONDITION ON DISCHARGE:
PLAN FOR FOLLOW-UP:
MEDICATION RECONCILIATION:
Physical activity limitation: 
Discharge DIETARY Restrictions:
DISCHARGE INSTRUCTIONS:
What to do if symptoms worsen:
Date of Admission:
Date of Discharge:
TYPE OF DISCHARGE:
DIAGNOSIS/PROCEDURE:
CONDITION ON DISCHARGE:
PLAN FOR FOLLOW-UP:
MEDICATION RECONCILIATION:
Physical activity limitation:
Discharge DIETARY Restrictions:
DISCHARGE INSTRUCTIONS:
What to do if symptoms worsen:





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