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Discharge summary template

The summary the GP needs on the day the patient goes home, with every medication change in one place.

Download the PDFFree, no sign-up. Fill it in on screen or print it.
Discharge summary template: page one of the PDF

What it asks for

What is on the formThe secretary completes

  • Practice letterhead, date and reference
  • Patient: name, date of birth, MRN and address
  • Admitted, discharged, consultant and ward
  • Reason for admission
  • Diagnosis
  • Clinical course and treatment
  • Medication changes and discharge medicines
  • Allergies and adverse reactions
  • Follow-up: owner, actions and advice
  • Sign-off: name, qualifications and Irish Medical Council number

Using it well

  • List stopped and changed medicines as well as new ones.
  • Name the owner of each follow-up action, so nothing falls between the hospital and the GP.

Open it in the sample practice

The sample practice is the real Ask Brigid on invented patients, open without a sign-up. This document joins its Library with the next sample-practice update; the Library already holds the practice’s templates.

Sources

Checked against the sources above on 23 September 2026. Issuers change their forms; check the official page before you rely on a detail here.

In Ask Brigid this paperwork sits beside the diary and the record: Practice management for private consultants.

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