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Form Details

• Form Properties
  1. Form Title: CCF018 Immunization Form v2
  2. Start from an Existing Form - Yes, if there is a previous version signed and locked
  3. Copyrighted Form - No
  4. Billable Progress Note - No
  5. Have multiple versions open at same time - No
  6. Open Blank on new version - No
• Required Fields - None
• Lookup Tables - None
• Pre-Fill Logic - Yes
  1. Any Immunization information will populate from Patient Details > Additional Demographic Info (cont.) Tab
• Fill to Logic - None
• Signatures
  1. Signature of Nurse
     • Sig type: RN
     • Signature locks the form
  2. Signature of Supervisor
     • Sig type: Supervisor
     • N/A box defaults to not checked
     • Route-To function available
     • Signature locks the form

Immunizations Tab

1. Immunization information will populate from Patient Details > Additional Demographic Info (cont.) Tab.

Signatures Tab

1. Signature Credentials (see Credentials)
   • Signature of Nurse
     • Sig type: RN
     • Signature locks the form
   • Signature of Supervisor
     • Sig type: Supervisor
     • N/A box defaults to not checked
     • Route-To function available
     • Signature locks the form

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