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. Comments Your time sheet has been sent to Volunteer Coordinator, Jenny Lolli Fink.Thank you!Return to Volunteer Portal click here
