Major Hospital
Patient Discharge Information
Stroke
Patient/Family Member received written discharge information for Stroke covering the following:
1. When to call the Doctor or 911
2. Follow-up after discharge with primary care physician/specialist.
3. Medications prescribed at discharge.
4. Risk factors for stroke.
5. Warning signs or symptoms of stroke.
6. Activation of the emergency medical system, call 911
Information given via Krames On Demand written Health Sheets.
Signed: Patient Name________________________________Date _____________________
Other: ___________________________________Relationship________________________
Nurse: ___________________________________________ Date__________________
***Place this signed copy (of this sheet only) in the chart under CONSENTS****