- Click HERE to open the Jotform titled "Community Outreach Visit Log"
-
Fill out one field at a time.
-
Fields marked with a red asterisk (*) are required — don’t skip them.
-
Once you submit the form, a “Thank You” screen will appear.
-
To start a new form, tap the refresh button in the lower right corner.
PRO TIPS:
- Open the Jotform before entering the clinic. That way, you can fill in details while they’re still fresh — or even during the visit.
- If they share a great story or give you permission for a photo, you can take the picture directly through the form.