Custom Sign-in Log Examples
You can have your Facility imprint, Doctors names, and (or) custom fields for patients to sign-in on. Below are just examples to serve as idea starters of what is possible.
Contact us and we can help you customize your form.
Facility Name centered, custom sign-in fields. This form for an Ob/Gyn office includes
checkboxes for "New Patient" and "Changes since last visit".
Simple title of Form centered, Doctor Name in top left, Facility Address in top right,
custom sign-in fields. General sign-in sheet template.
Facility Name centered, custom sign-in fields. This Radiology office example can have
text added to the top right and left corners of the page.
Simple title of Form centered, Facility Name & Address in top left, Participating Doctors
in top right, custom sign-in fields. General sign-in sheet template.
Facility Name centered, custom sign-in fields. This Internal Medicine office
example includes "Name", "Date", "Time Arrived", "Time of Appointment" and "Doctor".