Completing the Signature Section of IE

Completing the Signature Section

*Denotes a required piece of information. *All Components are Required

The Signature section provides an area for: 

• Preview Plan of Care Document*
• Patient Agreement Statement*
• PIN- Electronic Signature of Document*

Complete the Patient Agreement requirement by checking on the Patient Agreement Statement Checkbox.

Preview the Plan of Care PDF by clicking on the Preview Plan of Care button.

The Plan of Care PDF will display in a separate tab for you to review.

Enter your personal 4-Digit PIN and click on the Sign and Submit button to electronically sign and submit the document. 

**Note: Upon Signing, the Plan of Care PDF will be sent to the Front Office Admin Work Queue to be faxed to the Referring Physician.