Nearest Relative Discharge Letter Template UK

The Nearest Relative Discharge Letter Template UK is available in multiple formats, including PDF, Word, and Google Docs, featuring customizable and printable samples.

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Sample

Nearest Relative Discharge Letter Template UK

Editable – Printable

PDF – 1 PDF – 2

Nearest Relative Discharge Letter Template UK

1. Patient Information



2. Nearest Relative Information



3. Discharge Information

4. Consent to Discharge

5. Responsibilities Post-Discharge

6. Emergency Contact Information


7. Additional Notes

8. Declaration

9. Signatures



PDF

WORD

Examples

Nearest Relative Discharge Letter Template UK (1)
From:
[Name of Nearest Relative]
[Position or Relationship to Patient]
[Address]
[Phone Number]
[Email]
To:
[Name of Healthcare Provider]
[Address of Healthcare Provider]
[Date]
Subject:
Discharge of [Patient’s Name] from [Facility/Service Name]
Introduction:
This letter serves to formally discharge [Patient’s Name], who has been under your care at [Facility/Service Name], effective [Discharge Date].
Details of Patient:
Name: [Patient’s Name]
Birth Date: [Patient’s DOB]
NHS Number: [Patient’s NHS Number]
Reasons for Discharge:
[Detail reasons for discharge, such as completion of treatment, patient choice, or transfer to another facility].
Care Instructions:
Please provide any post-discharge instructions, follow-up appointments, and medication requirements for [Patient’s Name] to ensure a smooth transition to home care.
Responsibility Acknowledgment:
As the nearest relative, I acknowledge my responsibility for [Patient’s Name] and will ensure they have adequate support and care following discharge.
Signed:
Sincerely,
[Signature of Nearest Relative]
[Name of Nearest Relative]
[Date]
Nearest Relative Discharge Letter Template UK (2)
From:
[Name of Nearest Relative]
[Position or Relationship to Patient]
[Address]
[Phone Number]
[Email]
To:
[Name of Healthcare Provider]
[Address of Healthcare Provider]
[Date]
Subject:
Formal Notice of Discharge for [Patient’s Name]
Introduction:
This letter is to inform you of the decision to discharge [Patient’s Name] from [Facility/Service Name], effective [Discharge Date].
Patient’s Information:
Full Name: [Patient’s Name]
Date of Birth: [Patient’s DOB]
NHS Number: [Patient’s NHS Number]
Discharge Summary:
The reason for discharge includes [Briefly outline reasons like successful treatment completion, decision to leave, etc.].
Follow-up Care:
It is crucial that [Patient’s Name] adheres to the following after discharge: [Specify follow-up care instructions, including medications and follow-up appointments].
Assurance of Support:
As the nearest relative, I assure the facility that I will provide necessary support and oversight for [Patient’s Name] post-discharge.
Agreement and Signature:
Thank you for your care and service.
Sincerely,
[Signature of Nearest Relative]
[Name of Nearest Relative]
[Date]

Printable

PDF – 1 PDF – 2

Nearest Relative Discharge Letter Template UK