


How do I create a custom form with multiple signature blocks?
There are times when you need to collect multiple signatures on a single form. Sometimes this is to allow multiple people to sign a specific section of a form or you may need to have multiple sections be acknowledged within one form.
You can also install a signature anywhere within the form to collect that acknowledgement.
To begin using this feature, let's walk through the steps to get you there:
Settings > Patient Forms > Custom Forms > Add a Form:
Take the traditional steps of setting up the custom form by selecting Form Name and the Display options best for your practice:
You will use the same "drag and drop" action for placing the signature box where you would like, within the form layout:
A few helpful descriptions with the signature box are as follows:
- "Signature Of": Describes whose signature is needed.
For Example: the Doctor's Signature/Patient's Signature/Responsible Party's Signature - "Description": Statement describing to the patient what they are signing
- "Relationship To The Patient": These signer options are the drop down options visible to the patient for the signature
- "Name If Not The Patient": A box to fill in the name of the signer.
To learn more about RevenueWell custom forms, click HERE for an overview of this feature!