Updated June 03, 2022
A patient sign-in sheet (extended) can be used by a medical office to record a variety of details regarding their visiting patients. This particular form has space not only for the patient’s name and appointment details (i.e. arrival time, appointment time), but also for additional notes which can aid the doctor in making the patient’s visit more efficient.
Should you be interested in obtaining a basic version of the form, one which is used simply to record the name and appointment details of the patient, feel free to review our standard patient sign-in sheet.
How to Write
Step 1 – Download the Form
This form can be download is PDF, ODT, and Word formats; choose your desired format by selecting one of the links found in the paragraph or to the right of your screen.
Step 2 – Date and Patient Information
Begin by writing down the date at the top of the page; this form is meant for single day use. When a patient arrives, have them print their name in the first available column.
Step 3 – Appointment Details
Next, the arrival time and appointment time should be specified. This step can be completed either by yourself or by the patient, depending on the policies of the medical institution.
Step 4 – Appointment Details (Cont.)
In the “Appointment With” column, write the name of the doctor who is treating the patient (if known). You may also add any notes that may assist the doctor in making the patient’s visit more efficient. Finally, use the remaining column to indicate whether or not the patient is a first time visitor.
Step 5 – Presenting the Form
The sign-in sheet should be available to patients at the reception desk so that they may be able to record their arrival time upon entering the medical office. It’s best to place the form on a clipboard or other secure surface, and to have multiple copies kept behind the sheet on display or close by for easy access.