Checkli

Template

hospital discharge checklist template

Before bringing a loved one home please complete this checklist.

Template

Safety – Is your home a safe place for your recovery?

Transportation – How will you get home from the hospital?

Food – Do you have food and other necessities at home?

Medication – Do you have all the medications you’ll need?

Doctor’s Appointments – What is your follow-up care?

Home Health Care – Are you eligible?

Equipment – Do you need any medical equipment at home?

Daily Routines – What changes or adjustments will you need to make?

Household chores – Will you need help with cooking, cleaning, or laundry?

Care Management – Will you need assistance managing your care?

This creates a private checklist in your account.