VOLUNTEER TIME SHEET: Patient visit Volunteer * First Name Last Name Date * MM DD YYYY DIRECT PATIENT & FAMILY CONTACT Enter the patient number ACTIVITY/SERVICE (check all that apply) Visit with patient Caregiver relief/respite Delivery, shopping or errands for patient/family Music/Art/Pet Therapy Barber/Stylist/Massage Services Bereavement Support Other Volunteer Time for Direct Patient/family Contact * Enter the total time spent on the above activity. (example: 2 hrs. & 20 min.) Documentation Time Enter time spent filling out patient report up to 15 min. Travel Time Enter total time round trip. Email * Comments Your time sheet has been sent to Volunteer Coordinator, Jenny Lolli Fink.Thank you!Return to Volunteer Portal click here
