Free Nursing Home Visitor Screening Log Template
Nursing Home Visitor Screening Log
All visitors must complete this screening log upon entry to ensure the safety and health of our residents and staff. Please fill out each column accurately before proceeding to the visiting areas.
Date:
|
Visitor's Name |
Time In |
Time Out |
Contact Number |
Purpose of Visit |
Health Screening Passed (Y/N) |
|---|---|---|---|---|---|
Note: Visitors who do not pass the health screening should be kindly asked to reschedule their visit for a later date when they meet all health criteria.
