| Area/Item | Condition Upon Exit | Notes/Required Actions |
|---|---|---|
| Reception Area | ||
| Offices/Consult Rooms | ||
| Restrooms | ||
| Waiting Room | ||
| Flooring | ||
| Lighting | ||
| Walls & Paint | ||
| Ceilings | ||
| Cabinets/Fixtures | ||
| Medical Equipment Removed | ||
| Waste Disposal (Sharps/Biohazard) | ||
| Keys Returned | ||
| Other |