Apollonia Dental Centers

 

ADMINISTRATIVE FORMS LIBRARY:

Daily Operation Forms:                                                           New Patient Welcome Packet:

AM Hudle Checksheet.pdf                                                         Welcome Package Cover Letter 

Administrative Record.pdf                                                           Patient Registration and History Forms

Exception Report.pdf                                                                  Dental_Factsheet.pdf

GREEN SCHEDULING CARD.pdf                                          Informed Consent for COE 

New Patient Experience:                                                         Notice of privacy policy 

New Patient Telephone Information Sheet                                   

Records Release                                                                          Remember to also include in Welcome Pack:

COE Interview Sheet                                                                  Menu of Dental Services

COE Pre-frame Script Sheet                                                       Bakersfield Magazine Reprint

Consut Script Sheet                                                                    Any Apollonia Website Reprint(s)

Financial Arrangement

                                             

 

 

 

 

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Copyright © 2001 Apollonia Dental Centers
Last modified: December 31, 2003