You are on page 1of 2

Sheet1

DAILY CONTACT LOG


CHC-ELM
DATE TIME MR# LAST NAME FIRST NAME DOB REASON FOR VISIT
02/13/09 20 MIN 1634937 VILLASENOR RAUL 02/22/65 COME HERE WITH QUESTIONS REGARDING MEDICAL
02/13/09 20 MIN 1660374 HURSH RAHOL 12/23/75 CMS APPT 03/05/09 @ 9:15AM
02/13/09 20 MIN 1656333 POWELL DANNY 02/14/61 CMS APP 03/04/09 @2:15PM
02/13/09 20 MIN 1658819 GIL FRANCESLO 06/05/46 CMS APPT 03/09/09 @ 11:00 AM
02/13/09 20 MIN 1659630 WALKINS TERRY 05/14/58 CMS APPT 03/23/09 @9:00AM
02/13/09 20 MIN 1644591 NELSON ROBERT 08/04/58 CMS APP 03/23/09 @2:15PM
02/13/09 30MIN 1543093 TEJA GRACIELA 08/18/84 DR REFER PT TO CAA. PT DONT QUALIFY FOR CMS NO SOCIAL SECURITY!

02/13/09 30MIN 1656657 MENDOZA SAUL 03/09/75 DR REFER PT TO CAA. PT DONT QUALIFY FOR CMS NO SOCIAL SECURITY!

Page 1
Sheet1

Page 2

You might also like