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  • C R P ' D T R C R P ' D T R: Orporate Etainer Hysician S Aily IME Ecord Orporate Etainer Hysician S Aily IME Ecord

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    shadapaaak
    12 views2 pages
    This document contains a corporate retainer physician's daily time record for the month of May 2014. It lists the dates, reporting times, sign-in and sign-out times, and signatures of the physician and validators. The time record tracks the physician's scheduled hours and attendance at a corporate site to provide on-site medical services.

    Original Description:

    MAXICARE CRP DTR

    Original Title

    DTR CRP-2

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    This document contains a corporate retainer physician's daily time record for the month of May 2014. It lists the dates, reporting times, sign-in and sign-out times, and signatures of the physician and validators. The time record tracks the physician's scheduled hours and attendance at a corporate site to provide on-site medical services.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    12 views2 pages

    C R P ' D T R C R P ' D T R: Orporate Etainer Hysician S Aily IME Ecord Orporate Etainer Hysician S Aily IME Ecord

    Uploaded by

    shadapaaak
    This document contains a corporate retainer physician's daily time record for the month of May 2014. It lists the dates, reporting times, sign-in and sign-out times, and signatures of the physician and validators. The time record tracks the physician's scheduled hours and attendance at a corporate site to provide on-site medical services.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    5

    Validated by: _______________________________


    Signature over Printed Name of Company HR Officer

    CORPORATE RETAINER
    PHYSICIANS
    DAILY TIME RECORD
    Clinic Operations & Support Services

    May 13, 2014

    FO-CS-0.004

    Name:
    _________________________________________
    Month:
    _____________________________________
    __
    Corporate Account/Site: ____________________________
    _
    Schedule:
    __________________________________
    ______

    Date

    21
    22
    23
    24
    25
    26
    27
    28
    29
    30
    31
    1
    2
    3
    4

    Reporting
    Time

    Time
    In

    Verified
    By

    Signoff
    Time

    Time
    Out

    Verified
    By

    CORPORATE RETAINER
    PHYSICIANS
    DAILY TIME RECORD

    Rev. 00

    Signature
    of CRP

    Clinic Operations & Support Services

    May 13, 2014

    FO-CS-0.004

    Rev. 00

    Name:
    _________________________________________
    Month:
    _________________________________________
    Corporate Account/Site: ____________________________
    _
    Schedule:
    _________________________________
    ______

    Date

    6
    7
    8
    9
    10
    11
    12
    13
    14
    15

    Reporting
    Time

    Time
    In

    Verifi
    ed
    By

    Signoff
    Time

    Time
    Out

    Verified By

    Signature
    of CRP

    16
    17
    18
    19
    20

    Validated by: __________________________________


    Signature over Printed Name of Company HR Officer

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