Call Room Report
Site
Room Number
Please indicate the status of each of the following call room requirements:
Rows
Present
Damaged
Missing
Clean sheets and towels changed on a 24-hour basis
Door that locks from the inside
Bed
Bedside lamp
Privacy
Telephone
Non-public shower with hot and cold running water
Non-public sink
Non-public toilet
Suitable desk
Chair
Additional Comments (Optional):
Submit
Should be Empty: