
 
Financial and Insurance Call Log 
It is helpful to keep track of financial and insurance phone calls. This log can help patients and 
caregivers keep track of those calls. Print out several copies, if needed. 
 
Institution called: ____________________________________________________________ 
Date/time of call: ______________________ Number called: __________________________ 
Reason for call: ______________________________________________________________ 
Name of person/s spoke with: ___________________________________________________ 
Notes/results: ________________________________________________________________ 
 
Institution called: ____________________________________________________________ 
Date/time of call: ______________________ Number called: __________________________ 
Reason for call: ______________________________________________________________ 
Name of person/s spoke with: ___________________________________________________ 
Notes/results: ________________________________________________________________ 
 
Institution called: ____________________________________________________________ 
Date/time of call: ______________________ Number called: __________________________ 
Reason for call: ______________________________________________________________ 
Name of person/s spoke with: ___________________________________________________ 
Notes/results: ________________________________________________________________ 
 
Institution called: ____________________________________________________________ 
Date/time of call: ______________________ Number called: __________________________ 
Reason for call: ______________________________________________________________ 
Name of person/s spoke with: ___________________________________________________ 
Notes/results: ________________________________________________________________