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Hi, fellow Townies!
This page should allow you to download any of the forms we use, in an
editable Microsoft Word document format. Remember that the viewable layout
of Word documents is printer specific..... in other words it will look different
on the screen depending on what printer setting you use on your local
computer. If you want Adobe PDF versions of these documents, then Click
Here to go to our own internal document page.
Townies: you are welcome to use these forms any way you wish. Please
feel free to share them freely. If you improve them, please send me a copy
of the improved version so that I can share it with others. Thanks!
Neil
New for 2004 revised Budget
Plan and Business Plan to guide us to
ever greater success!
Administrative
Sheets:
Clinical Examintation Records Sheets:
PatientFlow
Diagram (requires Adobe Acrobat to read)
COE InterviewSheet
Telephone Information Slip
COE-PreFrameScriptSheet
Patient
Registration and History
Comprehensive
Oral Evaluation Record
Authorization
for Records Release
Problem
Focused Evaluation Record
Request for Insurance Information
CaseFeeWorksheet
AM-HuddleCheckSheet
Materials
Selection and Rationale
Exception
Report
ConsultScriptSheet
Informed Consent Sheets: Clinical
Records:
Informed Consent for Comprehensive Evaluation Direct
Placement Clinical Record
Informed
Consent for Amalgam Replacement Indirect
Restoration Record
Informed
Consent for Occlusal Therapy Endodontic
Clinical Record
Informed
Consent for Direct Restorations Continuing
Care Record
Informed
Consent for Endo Miscellaneous
Clinical Record
Informed
Consent for Financial Options Oral
Surgery Clinical Record
Informed
Consent for HMO Miscellaneous
Clinical Record
Informed
Consent for Implant Surgery
Supplemental Clinical Record
Informed
Consent Indirect Restorations
Informed
Consent for Mini Implant Surgery
Informed
Consent for Perio Surgery
Informed
Consent for Sealants
Informed
Consent for Scaling and Root Planing
Informed
Consent for Dental Extraction
Agreements:
What
are Agreements?
Environment
Conduct
Abilities
Beliefs
Values
Business Plan
Dave's staff presentation example: Slide
Show
Dental Fonts: dentalfonts.ZIP
Shad's into letters: Welcome Intro Letter1.pdf
Welcome Intro Letter3-michele.pdf
You are Townie number 
to visit this site!
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