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Signature Document Templates

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TripTix comes with signature document templates for you to use when completing your run report. The templates available in this section may vary by department. The most common templates are described below to help you choose the appropriate document for inclusion in your report.

  • Patient Signature AOB – Complete this form when a patient's signature can be obtained. The only required field is Signature.

  • Representative Signature AOB – Complete this form when a patient's signature cannot be obtained, but an authorized representative is available to sign on their behalf. Required fields include Signature, Signed By, Relationship to Patient, and Reason Patient was Unable to Sign.

  • Crew/Facility Signature AOB – Complete this form when neither a patient nor a representative is available to sign. Required fields include Signature, Signed By, and Reason Patient was Unable to Sign.

  • Refusal Form – Complete this form when a patient refuses treatment and/or transport. Required fields include Signature, Signed By, Relationship to Patient (if applicable – for POA/minors), and Reason Patient was Unable to Sign (if applicable – for POA/minors).

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