When the discharge of a case is reported, the patient may or may not have been under previous supervision. If already on the visiting list, the nurse merely resumes her visits. If not on the list, he is taken on at once. Needless to say, the physician in charge of the institution should prepare the way for the nurse’s coming, as should the physician of the dispensary. If he forgets to do so, the nurse may have some difficulty, especially with patients discharged in good condition, who see no need for her services. When discharged in bad condition, the reason is obvious enough, but in either case co-operation with the institution is necessary. =Reports Made to the Institution.= The reports made to the institution vary in accordance with the wishes of the physician in charge. Sometimes they are informal, made on certain specified cases; sometimes they are extensive and deal with large numbers of individuals. The value of these reports is indicated by the following examples: Two months ago a young girl was admitted as a paying patient, but she is now at the end of her resources, which consisted of a small fund subscribed through contributions of her fellow-workers. If she is to remain longer at the sanatorium, she must be transferred to the free list. Or we find that a young man, admitted erroneously to the free list, is in a position to pay; in justice to the institution and those who perforce must accept its hospitality, this patient should be transferred to the paying side. Or we receive a letter from the superintendent, saying that a certain patient has failed to arrive on the day specified, and asking us to look into the matter. Upon investigation we may find that a death in the family, an accident, or the lack of railway fare has been the cause of his non-arrival. Provision for him to go can then be made—his place is not forfeited, but held for him until a more favourable time. These personal relations between the nurse and the institution bring a great sense of cordial understanding and mutual good-will.