Form Discharge-Planning

 

\DJD]OI[@A C@MT\@[DI @HDA [OJT]  ]TJ@A X@CO[ XTF[@I @MKTF @ROR X_@A \DT]DTF@C  Bfi. Jgios` [dfp [dfp (;>) 80) 480;=1 Cgkd \gs =;;48

 I`j`

2

Tjur

2

 Ig. ]J 2

\D]DIH@I@@I \TF@IE \@XODI [`iee`f J`suc

2

]dih`i` [`iee`f \uf`ie

2

]dih`i` B`j \uf`ie

2

Tso` F`ibut (>< t`aui `t`u fdmoa) A`jm`t`i Jgmofos`so Jdjmutuac`i pdf`y`i`i jdkos k`i pdr`w`t`i mdrcdf`ibut`i [dre`ituie [dre`ituie kdie`i gr`ie f`oi k`f`j `ctonot`s a`ro`i [r`ispgrt`so \uf`ie 2

_`

[ok`c

_`

[ok`c

_`

[ok`c

Boc` s`tu s`b` tdrpdiuao, mdr`rto p`sodi jdjmutuac`i pdrdih`i``i puf`ie causus.

_` [ok`c Gr`ie y`ie jdik`jpoieo & jdr`w`t p`sodi ko ruj`a 2

  \diegm`t`i y`ie kof`ibutc`i ko ruj`a 2 Ig.

I`j` Gm`t

Bujf`a / Kgsos

B`j \djmdro`i

Oistrucso Causus

Kodt Causus \`sodi 2

.......................... ............. .......................... ........................... .......................... .......................... ............................ .......................... .......................... ............................ .................... ...... \dr`w`t`i / pdr`f`t`i jdkos y`ie koc`ibutc`i ko ruj`a 2

 Ig.

I`j` @ @f`t f`t Jdkos

  @f`t M`itu y`ie kop`c`o ko ruj`a 2

Ig.

Curso ]gk`

Gxyedi \grt`mfd

[giec`t

[r`hadgstgjo K - C`tdtdr  IE[

\dikokoc`i cdsda`t`i uituc ko ruj`a 2

M`fut`i b`ie`i m`s`a / cgtgr Aoik`ro jdie`iec`t mdm`i mdr`t

B`ie`i jdiedik`r`o cdik`r``i sdikoro / jdiyupor

 

B`ie`i jdi`oco t`iee` fdmoa k`ro ku` `t`u toe` c`fo sda`ro M`t`so pdcdrb``i ruj`a t`iee` k`i cdeo`t`i sgso`f. Jdf`cuc`i `ctovot`s sdh`r` mdrt`a`p s`jp`o cdsda`t`i pufoa cdjm`fo Boc` juihuf cdfua`i iydro / r`s` s`cot tok`c  mdrcur`ie kdie`i gm`t `ik` `t`u `t`u jdib`ko fdmo fdmoa a  muruc, sdedr` k`t`ie cd ]X ]X

Hdc F`mgr`tgrouj sdmdfuj cgitrgf

Komdroc`i cdp`k` \`sodi / Cdfu`re` 2

B`kw`f Cgitrgf mdrocutiy` 2

 I`j` Kgctdr 2 Gm`t - gm`t`i  

.......................... .............. .......................... ............................ .......................... ..............

JCD-