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Acceptable Methods of Signing Records/Test Orders and Findings

Be aware that electronic and digital signatures are not the same as 'auto-authentication' or 'auto-signature' systems, some of which do not mandate or permit the provider to review an entry before signing. Indications that a document has been 'Signed but not read,' are not acceptable as part of the medical record.

  • Legible handwritten signatures or initials - Note: handwritten signatures must be legible and the reviewer must be able to determine whose signature is used.
  • Electronic signatures: Electronic signatures should contain date and timestamps and include printed statements, e.g., 'electronically signed by,' or 'verified/reviewed by,' followed by the practitioner's name and preferably a professional designation. Note: The responsibility and authorship related to the signature should be clearly defined in the record.
  • Digitized signature: An electronic image is an individual's handwritten signature reproduced in its identical form using a pen tablet. (Note; this is an "actual" real time signature done electronically, like the digital sign-out with a credit card transaction.)

Note: If using the digitized signature method of a written signature that is typically generated by special encrypted software that allows for sole usage, also submit your protocol outlining the guidelines followed by each user.

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