Attachment F – Hospital Reception Services Sign-In Sheet (Example; Not intended to Replace Medical Examiner Interview) INCIDENT NAME: OPERATIONAL PERIOD: VISITOR : Legal Next of Kin X Person Seeking Information On: DATE TIME # Of Of Arrival Arrival NAME RELATIONSHIP CONTACT # (YES/NO) NAME DOB/AGE SEX 1 2 3 4 5 6 7 8 9 10
Attachment F – Hospital Reception Services Sign-In Sheet (Example; Not intended to Replace Medical Examiner Interview) INCIDENT NAME: OPERATIONAL PERIOD: # DATE Of Arrival TIME Of Arrival VISITOR : NAME RELATIONSHIP CONTACT # Legal Next of Kin (YES/NO) X Person Seeking Information On: NAME DOB/AGE SEX 1 2 3 4 5 6 7 8 9 10
Hospital-Reception-Site-Planning-Guide-Draft-12-5-16.docx