Basic Company Patient Sign In Sheet w/ Signature

Form Template

Keep track of your patients as they arrive for appointments.

5,000 Companies save time and money with GoCanvas

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The Patient Sign-In Sheet with Signature Mobile App can help diminish late arrivals, track how early or late your patients are, as well as show how many appointments are fulfilled and with whom. The mobile app is available on an iPhone, iPad, or Android device.

The patient can include their name, arrival and appointment times, phone number, signature, and the doctor with whom the appointment is scheduled. This mobile app also includes a check box for new, first-time patients so that you can handle all the insurance, medical history, and other paperwork with them.

For your benefit, the patient sign-in sheets are always secure on the GoCanvas Cloud to ensure patient confidentiality. You can also print and/or email the patient list data as a PDF.

Don't forget, you can also download the GoCanvas electronic sign in sheet to record visitor information as well. Or start with our basic electronic sign in sheet.

  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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  • iPhone
  • iPad
  • Android
  • Windows
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  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

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