Patient Discharge Summary Fax Sheet

FAX

To: [RECIPIENT'S NAME]
Address: [RECIPIENT'S ADDRESS]

Date: January 20, 2055

Re: Patient Discharge Summary for [Patient's Name]

Fax no.: 123-456-7890

Urgent
For Review
Please Respond

Message

Dear [RECIPIENT'S NAME],

Please find attached the discharge summary for the patient listed below. We kindly request transmission of this document to facilitate continuity of care between healthcare facilities and post-acute care providers.

Patient Information:

Name: [Patient's Full Name]
Date of Birth: [Patient's Date of Birth]
Diagnosis: [Brief Description of Diagnosis]
Discharge Date: [Date of Discharge]

Key Discharge Information:

Summary of Hospital Course
Procedures and Treatments Received
Medication Reconciliation
Follow-up Recommendations

Please ensure the secure and prompt delivery of this discharge summary to the designated recipient at your facility. If you require any additional information or assistance, please do not hesitate to contact our office at [YOUR COMPANY NUMBER]. Thank you for your cooperation in ensuring the continuity of care for our patients.

Kind Regards,

[YOUR NAME]

[YOUR DESIGNATION]

[YOUR COMPANY NAME]