Page 26 - Avoid Food and Drug Interactions
P. 26
Discharge Plan (For Inpatients Only)
Patient and Family Education: Yes (if yes, please refer to putient / family education form) No (please state your reoson):…………
Next appointment (outpatient) ……………………………………… Discharge plan:- ………………………………………………….
Clinical Dietician's Signature: Date and Time:
Physician's Signature: Date and Time:
26
