Document Review Status
{% if approval_status %}
{{ approval_status | replace('_', ' ') | upper }}
{% else %}
PENDING REVIEW
{% endif %}
{% if documents %}
Per-Document Status
{% for doc in documents %}
{% if doc.status %}
{{ doc.status | replace('_', ' ') }}
{% else %}
pending
{% endif %}
{% endfor %}
{% endif %}
Open Items Requiring Resolution
{{ decisions | selectattr('resolved', 'equalto', false) | list | length }} item(s) remain open and must be resolved before final approval.
{% if summary_notes %}
Reviewer Summary
{{ summary_notes }}
{% endif %}
Signatures
Reviewer
{{ reviewer }}
{{ client_name }}
Date: ____________________
Provider
Date: ____________________