Are other offices requiring patient to sign an ROI when an excuse note is given to the patient at the time of visit? Are you requiring an ROI if patient comes back later for a file copy of a previously issued excuse note? Or is an ROI even required at all? Would the process be different in a medical clinic and a counseling/behavioral health clinic, or the same? Who is responsible for completing the excuse notes with associated ROI's, if needed, in your offices? (i.e. nursing staff, counseling staff, front desk staff, or HIM) Thank you so much for your feedback!