For Healthcare Professionals

The Centers for Medicare and Medicaid Services (CMS) documentation guidelines require providers to clearly document the date of the visit, their signatures, and credentials on all medical records. 

Validating signatures documented on medical records is an important step in the process.  To help us validate provider signatures, we have included a signature log for you to complete. Each signature log should list all licensed providers who document information on patient medical records (i.e., physicians, physicians’ assistants, and nurse practitioners).

Click on the link below to complete the form. Return this via secure fax. Please call us if you have any questions.