Hospital Patient Release Form

A hospital patient release form is produced when a hospital makes discharge conformation of the patient. As its name depicts, it is a release form of a patient from a hospital so that it contains important information regarding the medical practices, which were conducted on the patient. It is an important document that notifies that a patient is now able to back his/her normal life. This form also denotes that the patient clears all the bills of the medical checkup before taking this release form.

The template of the hospital discharge form contains the information regarding a patient’s personal details and the whole medical process, including what kind of treatment one has been undergone, the medicines and the number of the days in the hospital. This form also contains the signature of both the patient and the doctor under whom the treatment has been conducted. An example of this form is given below.

You can download the sample of this form in both PDF and word file. Customization is up to you.

Hospital Patient Release Form

Download Easy to Edit Hospital Patient Release Form at only $3.00

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