CopyDenial appeal
A draft appeal written in the payer's language.
← Jobs
Discharge summary
Termination already contains enough feelings. The discharge summary does not need to become an additional character in the process. Your Assistant pulls the treatment arc into a draft you can review and close out.
Ask your Assistant
Draft a discharge summary using the full treatment history. Include the reason for discharge, presenting concerns, course of treatment, interventions used, progress toward goals, relevant risk information, and follow-up or referral information documented in the chart.
Draft a discharge summary using the full treatment history. Include the reason for discharge, presenting concerns, course of treatment, interventions used, progress toward goals, relevant risk information, and follow-up or referral information documented in the chart.
See it work
Upheal Assistant
Example
Discharge summary
Alex · Tue 2:00 PM · Session 14
Reason for discharge: Treatment goals substantially met; client and therapist agreed to conclude regular sessions.
Course of treatment: Work focused on anxiety, sleep disruption, and assertive communication. Interventions included cognitive restructuring, behavioral rehearsal, and values-based decision making.
Progress: Client reports improved sleep consistency and greater confidence addressing work conflict. No elevated risk was documented at discharge.
Fictional example · No real client data.
How it works
It reads the course of care
Presenting concerns, goals, interventions, progress, measures, and disposition are gathered across the chart.
It tells the arc once
The draft summarizes what changed and what remains without pasting six months of notes into a trench coat.
You close the record
Review the summary, add anything that belongs there, and finalize the discharge documentation.
Your most popular FAQs
What is a discharge summary in therapy?
The document that closes an episode of care: presenting problem, diagnosis, treatment provided, progress toward goals, status at discharge, reason for ending, and any recommendations or referrals. It is part of the clinical record and often requested by payers or the next provider.
What should a therapy discharge summary include?
Dates of service, diagnosis, treatment goals and outcomes, interventions used, the client's status at termination, the reason for discharge, risk at discharge, and recommendations for follow-up care. Keep it consistent with your progress notes.
How does Upheal Assistant draft the discharge summary?
It pulls the whole treatment arc from the chart into a draft you can review and close out, so termination is not followed by a blank page. You edit and sign it like any other note.
What if the client stopped coming without a final session?
It still drafts from the record you have: last contact, status at that point, and the reason for closure as you describe it. State the unplanned ending explicitly; payers and future providers read that differently from a planned discharge.
More jobs like this
Your practice just gained a colleague.
Every job on this page is free to try today. Bring your calendar, your notes, and the admin you're tired of doing alone.
100% HIPAA compliant
Nothing leaves your EHR
Never used to train models