Hospital Discharge Summary Request Form

Streamline Hospital Discharge Summary Requests with Paperform

When patients, healthcare providers, or insurance companies need access to hospital discharge summaries, the request process needs to be clear, compliant, and efficient. This hospital discharge summary request form template from Paperform makes it easy to collect all necessary information—from admission dates and attending physicians to procedure codes and insurance billing documentation needs—in one organized, professional submission.

Built for Healthcare Coordination and Records Management

Whether you're a hospital records department, medical practice, insurance company, or case management team, this template helps you:

• Capture complete patient information including demographics, admission details, and discharge dates
• Document authorization and consent with built-in signature fields for HIPAA compliance
• Specify exactly what records are needed, from discharge summaries to billing codes and operative reports
• Streamline insurance and billing workflows by collecting payer information and billing documentation requirements upfront
• Track delivery preferences with options for physical mail, secure email, or portal pickup

Why Healthcare Teams Choose Paperform

Paperform gives healthcare administrators, medical records departments, and case managers a secure, professional platform for managing sensitive information requests without technical headaches. Forms are easy to customize for your facility's specific requirements, embed on patient portals, or share via secure links.

With conditional logic, you can show or hide fields based on the requester type—patients see different options than insurance companies or legal representatives. Built-in eSignature capabilities through Papersign (papersign.com) mean you can collect authorizations and consent forms digitally, keeping everything linked for a complete audit trail.

Use Stepper (stepper.io) to automate what happens after each request: route submissions to the right department, send confirmation emails, update your records management system, or trigger follow-up tasks when documents are ready—all without writing code.

Trusted by healthcare organizations for its professional design, flexibility, and secure infrastructure, Paperform helps you deliver a better experience for patients and staff alike while maintaining the compliance and documentation standards your facility requires.

Get started with this template today and transform how your organization handles discharge summary and medical records requests.