Timesheet - First Last
| IE - Initial Eval | FR - Franchise |
| DV-M/OON - Daily Visits Medicare & OON Patients | PCR - Patient Care Rep |
| DV-SP - Daily Visits Self Pay | EA - Executive Assistant |
| EU - Extra Medicare Units Above 4 | TH - Training/Admin Hours |
| HWM - Hours Worked Mobile | |
| HWC - Hours Worked Clinic |
| Date |
IE
|
DV-M/OON
|
DV-SP
|
EU
|
HWM
|
HWC
|
FR
|
PC
|
EA
|
TH
|
TH: Explain
|
Other
|
Other: Explain
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Totals |
| Date |
IE
|
DV-M/OON
|
DV-SP
|
EU
|
HWM
|
HWC
|
FR
|
PC
|
EA
|
TH
|
TH: Explain
|
Other
|
Other: Explain
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Totals | |||||||||||||
| Period Totals | |||||||||||||