Institute of Psychiatry, 1 North Department of Psychiatry and Behavioral Sciences

Institute of Psychiatry, 1 North
Department of Psychiatry and Behavioral Sciences
Medical University Of South Carolina
67 President Street, P.O. Box 250861
Charleston, SC 29425
Total # of pages faxed,
including cover:
Inpatient Telephone: 843-792-0100
Inpatient Fax: 843-792-0113
FAX COVER SHEET — Brief Discharge Summary
Date:
To:
Agency
Fax Number
Phone Number
From:
1 North Adult Unit
Re:
Brief Discharge Summary
We are faxing to you the Brief Discharge Summary on a patient who is being discharged from
our 1 North Adult Unit and who is connected to you either through current provision of services
or referral for new services.
The Discharge Summary includes the following information:
•
•
•
•
Diagnosis and course of hospitalization
Medications prescribed, if any (Discharge Medication Order Sheet)
Follow-up appointments & providers (Patient Appointments Sheet)
Family contact information (Patient Appointments Sheet)
Please contact the Psychiatrist or Social Worker listed on the discharge paperwork if there are
any questions concerning the faxed information. They can be reached at 843-792-0100.
Thank you for providing ongoing care for this patient.
If you have received this communication in error, please notify the MUSC Compliance Office immediately
at 843-792-4037 or 1-800-296-0269. Thank you.
The documents accompanying this facsimile/electronic transmission contain confidential information
intended only for the use of the individual or entity to which it is addressed and may contain information
that is privileged, confidential, and exempt from disclosure. If the reader of this message is not the
intended recipient, or an employee responsible for delivering the message to the intended recipient, you
are hereby notified that any disclosure, dissemination, distribution, or copying of this communication is
strictly prohibited.
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Rev. 5/2/14