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Discharge Notice Mobile App

The Discharge Notice mobile app allows hospitals and physicians to complete a medical discharge form using a Smartphone or Tablet. The app allows the nursing unit to document what type of discharge occurred, such as discharge to home/ self-care, transferred, left against medical advice and expired. GoCanvas has made improvements to better handle international characters.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Discharge Notice Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico camera

    Imprint Plate:

  • Ico statictext

    Nursing Unit - Please Check the Appropriate Box:

  • Ico checkbox

    1 Discharge to home / self care1 Discharge to home / self care

  • Ico checkbox

    2 Discharge to other acute care facility

  • Ico checkbox

    3 Transferred to skilled nursing facility

  • Ico checkbox

    4 Transferred to intermediate care facility

  • Ico checkbox

    5 Transferred to another type facility

  • Ico checkbox

    6 Discharge to home health

  • Ico checkbox

    7 Left against medical advise (AMA)

  • Ico checkbox

    8 Expired

  • Ico time

    Time of Discharge

  • Ico textbox

    Nursing Unit Representative

  • Ico signature

    SIGNATURE

  • Ico statictext

    This patient has cleared the Finance Office

  • Ico textbox

    Patient Account Representative

  • Ico signature

    SIGNATURE

  • ...and More!

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More Information


  • Creator: Team GoCanvas
  • Language: English
  • Country: United States of America
  • Type: Notices
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