Missing Sign-In Form Report

A simple way to submit past or missing sign-in forms.

SUBMIT YOUR REPORT

scan to submit

Review PDF Guide

Missing a sign-in form for one of your clients?

Submit a quick report and our operations team will take care of sending it out for electronic signature!

Password: ESPRESSO

Click to Submit

Guide: Missing Sign-In Form Report PDF

Powerpoint: Internal Auditing Reference

Review Powerpoint

Electronic Sign-In Form Templates

IMPORTANT: In order to be able to use the fillable PDFs, you’ll need to download and edit them on your own computer. 

PerformCare Supervisor: Elizabeth Dalton

ED Single Date: Virtual (fillable)
ED Single Date: 8 NQ (fillable)
ED Single Date: 48 NQ (fillable)
ED Single Date: 26 WO (fillable)
ED Multi-Signature (fillable)

PerformCare Licensed Therapist: Forms for credentialed licensed therapists, excluding psychologists.

Licensed Multi-Date Sign In Form (fillable)
Licensed Single Date Sign In Form (fillable)

PerformCare Supervisor: Emily Wilson

EW Single Date: Virtual (fillable)
EW Single Date: 8 NQ (fillable)
EW Single Date: 48 NQ (fillable)
EW Single Date: 26 WO (fillable)
EW Multi-Signature (fillable)

PerformCare Supervisor: Kara Hoff

KH Single Date: Virtual (fillable)
KH Single Date: 8 NQ (fillable)
KH Single Date: 48 NQ (fillable)
KH Single Date: 26 WO (fillable)
KH Multi-Signature (fillable)