Table 2.

Discharge plan
Include role of client, family, community, other agencies and resources
Date of closure		Initiated by:
Reason for closure
Goals achieved
Completion of goals
Caregiver satisfaction survey	Is survey conducted; level of caregiver satisfaction/comments
Duration of stay (days)
Organisation referred for followup
Staff responsible for followup
Date of planned followup
Name of staff and contact details given to client		Tel:
		Email:
Client's signature/Date
Case manager's signature/Date