Get Patient Orientation Checklist

The Patient Orientation Checklist is an essential document that ensures a comprehensive understanding of the equipment and training required for a safe health care experience. This guide provides clear, step-by-step instructions to help users complete the checklist effortlessly online.

Follow the steps to fill out the Patient Orientation Checklist online.

1. Press the ‘Get Form’ button to access the checklist and open it in your preferred online editor.
2. Complete the patient information section by entering your name as it appears on your identification.
3. Read through the patient confirmation section carefully. Confirm that you have received the Game Ready System, understand the patient rights and responsibilities, and have been instructed on the operation of the system by checking the appropriate boxes.
4. Fill in the control unit serial number, ensuring all other components listed are present and functioning as specified.
5. Provide your signature and the date to acknowledge the accuracy of the information provided in the patient acknowledgment section.
6. If applicable, a personal representative or responsible party must complete their section by providing their name, signature, and date.
7. The final step involves reviewing all completed information for accuracy before saving your changes. You may choose to download, print, or share the completed form.

Complete your Patient Orientation Checklist online today to ensure a seamless health care experience.