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Thegoodocs.com Sheets Templates Sign Up Sheets Templates Easy to Use Patient Sign-In Sheets Template

Easy to Use Patient Sign-In Sheets Template

Use this free template with Google Sheets and Microsoft Excel

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Easy to Use Patient Sign-In Sheets - free Google Docs Template - 10069984
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Description:

Our Easy-to-Use Patient Sign-In Sheet Template meets all legal and practical requirements for this type of document. It consists of numerous fields that doctors can fill out digitally or after printing the form. The formal Google sign-up sheet with its black-and-white design is a universal choice for any clinic or medical facility.

Use This Form for Free

Our template is available for free in Google Sheets and Excel. You can leave the structure as is, replace unnecessary blocks, or add more details.

This sample is divided into four main sections:

  • Patient Information. This section includes placeholders for name, date of birth, and contact information.
  • Medical History. This section contains fields for allergies, current medications, illnesses and chronic conditions, and family medical history.
  • Appointment Details. Here, doctors can enter the date, time, and reason for the patient's visit.
  • Insurance Information. This section contains lines to include the insurance provider, policy and group number, and the primary insured's name. There's also space for emergency contact information, consent and acknowledgment, and details for office use only.

The blank is print-ready in A4 and US Letter formats on any black-and-white printer. Find Google Sheets templates for any work needs on our website.

Download for Free (Attribution required).
Edit in Google Sheets
Download in Excel
  • Free Template
  • Easily change the text, images, and more
  • Created: March 4, 2025
  • Author: Natalia Prokhorenko
  • DPI: 300. Ready to Print at Office/Home
  • Size: 210 x 297 mm , 8.5 x 11 inch
  • Free Standard Google fonts
  • Compatible: Google Sheets and Microsoft Excel
  • Color: White
  • Style: Simple
  • Downloads: 14
  • Added to collections: 3
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