EMR Audit Trail Access Log Tracker Form
Log and track access events to the EMR audit trail for clear and accurate record-keeping.
Full Name of Accessor
*
First Name
Last Name
Role or Department
*
Date of Access
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Access
*
Hour Minutes
AM
PM
AM/PM Option
Type of Access
*
View
Edit
Export
Delete
Other
EMR Module or Section Accessed
*
Reason for Access
*
Event/Log ID (if applicable)
Submit Log Entry
Should be Empty: