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Patient Sign-in Sheet Template

A patient sign-in sheet allows a hospital, clinic, or other healthcare institution to record identifying information about its visiting patients. Using this document, or the extended version, enables the smooth operation of any healthcare institution, ensuring that patients receive timely and adequate care for their needs.
PDF
Word
ODT
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How to Write

Step 1 – Download the Form

The patient sign-in sheet can be downloaded in PDF, ODT, and Word formats. Choose your desired format by selecting one of the links found within this paragraph or below the form image on the right of your screen.

Step 2 – Date and Patient Name

You should begin by recording the date at the top of the form. When the patient enters the medical office, have them print their name in the first column.

Step 3 – Appointment Information

The arrival time and appointment time can be recorded either by yourself or by the patient (depending on the policies of the medical office). Once that information has been supplied, write in the remaining column the name of the applicable doctor.

Step 4 – Presenting the Form

It’s best to present the form to patients at the reception desk so that they can record their arrival time directly after entering the medical office. You may also benefit from printing multiple copies of the form to ensure that you don’t run out of space for each patient’s information.