Medical-Related Travel Mileage Log
Prepared by: [Your Name]
Date: [DATE]
Company Name: [Your Company Name]
This log is designed to record mileage for medical-related travel. It provides a systematic and professional approach to tracking travel distances associated with medical appointments, treatments, and visits, ensuring accurate documentation for reimbursement and reporting purposes.
Log Overview
DATE | MEDICAL TRIP PURPOSE | ODO READING (START - END) | MILES TRAVELED | HEALTHCARE FACILITY |
|---|
2050-07-01 | Doctor Appointment | 50,000 - 50,120 | 120 | Dr. Smith |
2050-07-05 | Physical Therapy | 50,120 - 50,180 | 60 | PT Clinic |
2050-07-10 | Specialist Consultation | 50,180 - 50,250 | 70 | Dr. Johnson |
2050-07-15 | Hospital Visit | 50,250 - 50,330 | 80 | General Hospital |
2050-07-20 | Diagnostic Testing | 50,330 - 50,410 | 80 | Diagnostic Center |
2050-07-25 | Emergency Visit | 50,410 - 50,490 | 80 | Emergency Room |
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Notes
Date: The date when the mileage was recorded for medical-related travel.
Medical Trip Purpose: Describes the reason for the travel, such as appointments, treatments, or follow-ups, providing context for the trip.
ODO Reading (Start - End): Combined odometer readings at the start and end of the travel period, ensuring precise tracking of distances.
Miles Traveled: The total distance traveled during the trip, essential for accurate reporting and reimbursement.
Healthcare Facility: The name of the medical facility or practitioner visited during the trip, providing specific context for the travel.
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