Printable Hospital Stay Worksheet — Patient & Caregiver Notes, Discharge Planner

Hospital stays move fast and the details matter. Don't try to hold it all in your head.

This printable two-page hospital stay worksheet keeps you organized from admission to discharge — daily updates, care team notes, medication changes, and everything you need to know before you leave. Designed for patients and the family members and caregivers sitting beside them.

What it helps you organize:

• Care team contacts — attending physician, nurses, case manager
• Daily updates — what happened, what changed, what was decided
• Medications started, stopped, or changed during the stay
• Questions to ask before discharge
• Discharge instructions — restrictions, follow-up, warning signs
• Next steps after going home

What you get:

• 2-page printable PDF — instant digital download
• US Letter size (8.5 × 11 in)
• Black and white — prints on any home printer
• Print as many copies as you need

Organizational and tracking tool only. Not medical advice. Always share information with your licensed provider. DopaSheets — Simple systems for complicated days.