formisoft

Discharge Survey

Asks about discharge date, discharge instruction clarity, and medication understanding. Built for hospitals reducing 30-day readmission rates through discharge feedback.

Questions
12
Pages
2
Time
about 3 min
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Your practice

Discharge Survey

Page 1 of 2 · Your information

Live preview. Tap through it like a patient.

Who it is for

  • Hospitals reducing 30-day readmission rates through discharge feedback
  • Ambulatory surgery centers evaluating post-operative discharge education
  • Rehabilitation facilities assessing patient readiness for home transition
  • Case managers identifying gaps in discharge planning processes

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What's inside

Page 1 · Your information

  1. Patient NameText · Required
  2. Discharge DateDate
  3. Discharge Instruction ClarityMultiple Choice · 5 choices
  4. Medication UnderstandingMultiple Choice · 5 choices
  5. Follow-Up Plan ClarityMultiple Choice · 5 choices

Page 2 · Additional details

  1. Caregiver Included in EducationMultiple Choice · 4 choices
  2. Readiness to Manage Care at HomeMultiple Choice · 4 choices
  3. Knows Whom to ContactMultiple Choice · 4 choices
  4. Activity Restrictions UnderstoodMultiple Choice · 4 choices
  5. Overall Discharge ExperienceMultiple Choice · 6 choices

From form to a ready patient

  1. The Formisoft form builder with editable questions and required toggles

    01

    Make it yours

    Reword, reorder, or add to the Discharge Survey, and add your logo.

  2. A patient filling out a Formisoft form on a phone

    02

    Patients finish it at home

    A secure link by text or email, filled out on their phone before the visit. No app.

  3. The Formisoft dashboard showing how many of today's patients are ready

    03

    Your team sees who is ready

    Each visit shows as ready once its forms are in. Answers land on the patient record.

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Questions

Formisoft provides secure form collection and a Business Associate Agreement (BAA). Your practice must review the form content, access permissions, and sharing workflow for its requirements.

Yes. You can add, remove, reorder, or reword any of the 12 fields. You can also add conditional logic, new pages, file uploads, e-signatures, and payment fields.

Patients open a secure link from an email, a text, or a QR code and complete the form on their phone, tablet, or computer before their appointment. No app download required.

Yes, on Front Desk. Attach the form to a visit type and every patient who books gets it right away, with a reminder before the visit if it is not done. Your calendar shows which visits are ready.

Yes. The Discharge Survey works on any device. Most patients complete intake forms on their phone, so every template is built for small screens first.

Send it before the visit, so patients arrive ready.

Add the Discharge Survey to your account and make it yours in a few minutes.

Cancel anytime · BAA included

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