Knowledge of how to fill out payment on daily receipt sheet

  • If paying with CASH or CHECK –

    • Fill in the following fields on the BLUE “Daily Receipts” form:​

      • Payer Name​

      • Patient Name

      • Check Number/or write “CASH”

      • Date

      • Amount

    • Make sure to note payment on the most current daily receipt form until the form is full

    • If paying with CREDIT CARD –

      • Fill in the following fields on the BLUE “Daily Receipts Square” form​​

        • Payer Name​

        • Patient Name

        • Date

        • Amount

      • Daily SQUARE Receipts should be started DAILY. A new form is required for each business day.