Printing Forms

Using the Print Forms functionality you can generate and print forms commonly known as "face sheets." A face sheet is a compilation of a patient's health and account information in an easy-to-use format for the convenience of medical professionals working on the case.

You can also run and print the WHO (World Health Organization) Surgical Safety Checklist, and various notices and statements of financial responsibility.

You can generate forms for an individual patient, a group of patients, or for a specific date or range of dates.

Forms Generated Using the Print Forms Functionality

Patient Summary InformationPatient Summary Information

Includes information on the patient's demographics, insurance policies, and account balance
Patient Summary Information w/o AgingPatient Summary Information w/o Aging

Includes all information on the Patient Summary Information except the account balance
Patient Summary Information with Financial ResponsibilityPatient Summary Information with Financial Responsibility

Includes all information on the Patient Summary Information except the account balance. Also includes a Release of Benefit and Information and Patient Financial Responsibility statement with a space for signatures.
Patient Summary Information with SignaturesPatient Summary Information with Signatures

Includes information on the patient's demographics, insurance policies, and account balance with a place for signatures attesting to the accuracy of the information on the form
Procedures (Modified) - Patient Summary Information with SignaturesProcedures (Modified) - Patient Summary Information with Signatures

Includes information on the patient's demographics, insurance policies, and account balance and information about the procedure(s) with a place for signatures attesting to the accuracy of the information on the form. The procedure description does not include the procedure code.
Procedures Patient Summary InformationProcedures Patient Summary Information

Includes information on the patient's demographics, insurance policies, and account balance and information about the procedure(s), including the procedure code, with a place for signatures attesting to the accuracy of the information on the form.
Procedures - Patient Summary Information with SignaturesProcedures - Patient Summary Information with Signatures

Includes information on the patient's demographics, insurance policies, and account balance and information about the procedure(s), including the procedure code, with a place for signatures attesting to the accuracy of the information on the form.
Patient Responsibility Information with SignaturesPatient Responsibility Information with Signatures

This is a letter informing the patient of the estimated amount he or she is responsible to pay based on the information provided by the surgeon and insurance carrier with places for signatures. The amount printed on the form is pulled from the Deposit field on the Insurance Verification dialogInsurance Verification dialog.
WHO Surgical ChecklistWHO Surgical Checklist

Surgical Safety Checklist from the World Health Organization. The form includes the patient's name, case date (date of service) and signature line/date.

Accessing the Print Forms Functionality

From the Demographics module, select a patient record and click Print Form from the Sheet BarSheet Bar.

Tasks