Hospital Discharge Planning Assessment Form
About this free form template

Streamline Hospital Discharge Planning with Paperform

Effective discharge planning is critical for patient safety, continuity of care, and reducing hospital readmissions. This Hospital Discharge Planning Assessment Form template helps hospitals, care coordinators, and case managers systematically evaluate every aspect of a patient's transition from acute care to their next care setting.

Built for healthcare teams managing complex discharge needs

This template captures essential information across multiple domains: post-acute care placement needs, durable medical equipment (DME) requirements, home safety modifications, medication reconciliation, caregiver availability and training needs, follow-up appointments, and transportation arrangements. By using Paperform's conditional logic, the form adapts based on where the patient is being discharged—whether home, skilled nursing facility, rehabilitation center, or assisted living—showing only relevant questions for each pathway.

Why healthcare providers choose Paperform for discharge planning

Healthcare systems, hospitals, and home health agencies use Paperform to replace outdated PDF workflows with dynamic digital forms that can be completed on any device. The doc-style editor lets clinical teams create forms that match their specific discharge protocols while maintaining a professional, easy-to-navigate experience for care coordinators working under time pressure.

Paperform's calculation engine can automatically flag high-risk discharge scenarios based on assessment responses, while conditional logic ensures comprehensive evaluation without overwhelming staff with irrelevant questions. Forms can be embedded in your EHR portal or sent via secure link to be completed by discharge planners, social workers, or case managers.

Automate your discharge workflow with Stepper

Connect this discharge assessment to Stepper to transform each submission into a coordinated workflow. Automatically route equipment orders to DME suppliers, trigger home health referrals, notify social services for patients needing additional support, schedule follow-up calls, and update patient records across systems—all without manual data entry. Stepper's healthcare automation capabilities help reduce discharge delays and ensure nothing falls through the cracks during care transitions.

Secure, compliant, and ready for healthcare operations

While Paperform is not HIPAA compliant, it offers SOC 2 Type II certification, SSO, role-based permissions, and data residency controls suitable for administrative and operational healthcare workflows that don't involve protected health information (PHI). Many healthcare organizations use Paperform for care coordination, scheduling, internal assessments, and non-PHI patient communications where speed and flexibility matter.

This template is ideal for discharge planners, case managers, social workers, utilization review coordinators, and transitional care teams working to ensure safe, well-coordinated hospital discharges that reduce readmissions and improve patient outcomes.

Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Built for growing businesses, trusted by bigger ones.
Trusted by 500K+ business owners and creators, and hundreds of millions of respondents. Small and growing teams across marketing, eCommerce, education, and professional services run their forms on Paperform.

Our customers love us, with an average rating of 4.8 out of 5 from 380 reviews across Capterra, Trustpilot, and G2.