New Progress HIA Hospital Discharge Service Call Log Contact Details Fields marked with an '*' must be completed Name of RLI Discharge Officer * Telephone number of Discharge Officer * Name of person enabling access to patient's house if different from above Telephone number of person enabling access to patient's house if different from above Patient's Name * Property number or name Postcode Patient's Mobile Number * Form Progress 0% completed 0% 25% 50% 75% 100%
