Hospital Release Form Template for England and Wales

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Key Requirements PROMPT example:

Hospital Release Form

"I need a Hospital Release Form for a private mental health facility in Wales, which includes additional clauses for patients leaving against medical advice and requires both a psychiatrist's assessment and family member acknowledgment."

Document background

The Hospital Release Form is a critical document used throughout healthcare facilities in England and Wales when discharging patients from medical care. It serves multiple purposes: documenting the patient's formal discharge, confirming their understanding of post-discharge care instructions, recording any medications prescribed, and noting follow-up appointments. The form is particularly important in cases where patients choose to leave against medical advice, as it provides legal protection for healthcare providers while ensuring patient autonomy is respected. It must comply with various regulations including the Mental Capacity Act 2005 and the Health and Social Care Act 2012.

Suggested Sections

1. Patient Information: Full name, date of birth, NHS number, address

2. Admission Details: Date of admission, reason, treating physician

3. Discharge Summary: Treatment received, current condition, reason for discharge

4. Consent Declaration: Patient's acknowledgment of voluntary discharge

5. Risk Acknowledgment: Statement of understood risks of leaving hospital

Optional Sections

1. Next of Kin Details: Contact information for emergency contact, used when patient requires support

2. Capacity Assessment: Required when there are concerns about patient's decision-making capacity

3. Interpreter Declaration: Used when translation services were required

4. Against Medical Advice: Additional disclaimers when patient leaves against medical recommendation

Suggested Schedules

1. Medication Schedule: List of prescribed medications and instructions

2. Follow-up Care Plan: Details of required follow-up appointments and care

3. Home Care Instructions: Specific instructions for post-discharge care

4. Emergency Contact Information: List of relevant medical contacts and emergency services

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Healthcare
Social Care
Mental Health Services
Emergency Services

Relevant Teams

Medical Records
Patient Administration
Legal
Quality Assurance
Clinical Governance

Relevant Roles

Hospital Administrator
Medical Doctor
Nurse Manager
Ward Sister
Charge Nurse
Discharge Coordinator

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Let's create your Hospital Release Form

Authors

Alex Denne

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