OFFICE SUPPORT DOCUMENTS – NFDO

FILE NAME
CATEGORY
DESCRIPTION (opt)
LINK
NV Payroll Sheet 3-31-25NFDOhttps://docs.google.com/spreadsheets/d/175UV2_yWAdcO6oVJWG96Pv_TlB0GIIZxE1xDiafPYjM/edit?usp=drivesdk
Insurance Direct Deposits 12-1-23.pdfNFDOhttps://drive.google.com/file/d/1_Qh17L5mPUNh7D07PpFQ26AKTTNBFwqp/view?usp=drivesdk
ADJUCTIVE/CODES/FEES 07142022NFDOhttps://docs.google.com/spreadsheets/d/1Y8OXxcw-G7UKeELeLUB86MBJ0X745aWIQgcAUMUZTMw/edit?usp=drivesdk
Staff Shout Out.pdfEmployee Shout out! https://drive.google.com/file/d/1zfAomsHGjjgUtJD4ddmG7VxCwLjUNBqv/view?usp=drivesdk
Dentrix’s Appointment Quick Fill.pdfAppointment Quick Fillhttps://drive.google.com/file/d/1Ae6WyqatOvKp0f5PCLWXLh0t0qrppfW6/view?usp=drivesdk
Performance Assessment – Hygienist updated 6-15-23.xlsxHR Formshttps://docs.google.com/spreadsheets/d/1a8B3AmWYIV3-4J2wvI0ytADCx6CEpKAu/edit?usp=drivesdk&ouid=104500706941418853637&rtpof=true&sd=true
Performance Assessment – Assistant updated 6-15-23.xlsxHR Formshttps://docs.google.com/spreadsheets/d/1oGn_MFTa8swAt4bUAb4jn74keXOQHu3Q/edit?usp=drivesdk&ouid=104500706941418853637&rtpof=true&sd=true
Performance Assessment – Hygiene Assistant updated 6-15-23.xlsxHR Formshttps://docs.google.com/spreadsheets/d/1qhSiNZ3hFGYo3kgxCtC-W8M6y29KxMjU/edit?usp=drivesdk&ouid=104500706941418853637&rtpof=true&sd=true
Performance Assessment – Office Manager updated 6-15-23.xlsxHR Formshttps://docs.google.com/spreadsheets/d/1c-9v7RmaAtK6onlVpzM1vde1qh5bBE7v/edit?usp=drivesdk&ouid=104500706941418853637&rtpof=true&sd=true
Performance Assessment – Front Office updated 6-15-23.xlsxHR Formshttps://docs.google.com/spreadsheets/d/1ueTyCNE0KVnDg0XKi_bxixuO-OZaHQdt/edit?usp=drivesdk&ouid=104500706941418853637&rtpof=true&sd=true
Wage Change Agreement NV.docxHR Formshttps://docs.google.com/document/d/1HsvLATmsGVNYClh1l3H6IbNMCW1RiqLH/edit?usp=drivesdk&ouid=104500706941418853637&rtpof=true&sd=true
Termination Checklist.docHR Formshttps://docs.google.com/document/d/1WbgG2kUiTzjShCKnhuVS2GOGT3BxaxOn/edit?usp=drivesdk&ouid=104500706941418853637&rtpof=true&sd=true
Written Warning – NV.docxHR Formshttps://docs.google.com/document/d/16CZyrVCrQnDHoc4rsCvR1BpXAxNd5eqU/edit?usp=drivesdk&ouid=104500706941418853637&rtpof=true&sd=true
Termination Notice Form NV.docxHR Formshttps://docs.google.com/document/d/1r9bUa9HA6JOxWHPIkB_kteKf4_sUOhZK/edit?usp=drivesdk&ouid=104500706941418853637&rtpof=true&sd=true
Incident Report – NV.pdfHR Formshttps://drive.google.com/file/d/1hIgKhz3hI8rrVdjHF2YZOlfNwoyr4pT4/view?usp=drivesdk
Reimbursement Agreement.pdfHR Formshttps://drive.google.com/file/d/1cgIV49TZzBKn-ieG2leTsjzChgGZgRVU/view?usp=drivesdk
SSDP-Consent NV rev 01042023SSDPhttps://docs.google.com/document/d/17dWwdechgTxTc_jQy3hBShEK7qlD2h4RpX5rr6Swsbw/edit?usp=drivesdk
SSDP-Consent NV rev 01042023.pdfSSDPhttps://drive.google.com/file/d/1b_Lh6kkqMsJJ2vqrDIVtbX5EhTdKNhes/view?usp=drivesdk
SSDP-Consent NV rev 01042023.docxSSDPhttps://docs.google.com/document/d/1oDplMKEoc8y4cks4Bnf5gfSm1jCeIZ2j/edit?usp=drivesdk&ouid=104500706941418853637&rtpof=true&sd=true
SSDP Consent.pdfoldhttps://drive.google.com/file/d/1A18Sow1PQekWPnwIDt7oXcy-TzZZmE2o/view?usp=drivesdk
SSDP-Consent NV-SP.pdfSSDP-Spanishhttps://drive.google.com/file/d/1uNsuaj2VCtAeqNtcjzKJ2ftdsn1dUCML/view?usp=drivesdk
SSDP-Consent NV-SP.docxSSDP-Spanishhttps://docs.google.com/document/d/18TFc1O1XhU74K_6Xs8Vg9VfeSoN04Dg3/edit?usp=drivesdk&ouid=104500706941418853637&rtpof=true&sd=true
Temp Time Sheet updated 11-28-23.pdfComprehensive Ortho Start Competition https://drive.google.com/file/d/1LykMJV-3fAzHlNQ8MywkVi-uSiQZ50Dn/view?usp=drivesdk
Ortho Challenage Revised.pdfComprehensive Ortho Start Competition https://drive.google.com/file/d/1MkO1plxy-n8jcgcxk8v0tl3ZZqZTiT0U/view?usp=drivesdk
2026 ADA Codes_000127.pdf2026https://drive.google.com/file/d/1d9XWvoQHCI9VjOx1n8MbmgCnFxJ3Snaa/view?usp=drivesdk
New Ada codes 2023_000099.pdf2023https://drive.google.com/file/d/1JJKaWvRJBvehH7GE1Sa60gKvzj7ljTjT/view?usp=drivesdk
Radiation Protection Program-NV.pdfRadiation Informationhttps://drive.google.com/file/d/1xq0ekFQ5gh3URHEujF-ZzxpwmhH_hpgF/view?usp=drivesdk
AR Quickbill and TSI Revised 10-31-22.pdfAccounts Receivable https://drive.google.com/file/d/1rnlDfkLEj7HyCYM5nwAewCtniGJAQyoI/view?usp=drivesdk
AR Road Map option 2.pdfAccounts Receivable https://drive.google.com/file/d/1jnNhJILhqDn5n0I8Qu0JFavwZSmGzlIf/view?usp=drivesdk
Temp Time Sheet Direct Dep 1-20-26.pdfCOVID-19https://drive.google.com/file/d/19knxeb-wX7Gvj2u9wfXa9EL1ZHhYeVEr/view?usp=drivesdk
Temp Time Sheet updated 10-9-24.pdfCOVID-19https://drive.google.com/file/d/1OBppFNFo-4kEez90F3vBZbW17s5rOt_z/view?usp=drivesdk
Employee Screening Form NV .pdfCOVID-19https://drive.google.com/file/d/1_ZxjMC6ANnsuFkZ7wOK-ZARAtLdCYA3m/view?usp=drivesdk
COVID-19 Patient Form NV 1-5-21.pdfCOVID-19https://drive.google.com/file/d/1AmvUxojc8rbJCmbIHdqzkdo7b43mUPh9/view?usp=drivesdk
COVID-19 Patient Form NV 4-28-20COVID-19https://docs.google.com/document/d/1RFoS0kOLaUGjVwOgeeziSmJvjJ2qDVaxsyNMEh2ij14/edit?usp=drivesdk
COVID-19 Patient Protocol NFDO.pdfCOVID-19https://drive.google.com/file/d/1A8OhyNbhUDcg1hYADn7YhwdJDQSqwSza/view?usp=drivesdk
Credit Card Authorization (8).pdfFinancialshttps://drive.google.com/file/d/1qJBJUZLlB2J2yU4dgobKceba6Fg3EtJR/view?usp=drivesdk
DISMISSAL.docxDismissal of a patienthttps://docs.google.com/document/d/1IiZqsJpCL6CmSUigBPbDbaDO3I16sfsx/edit?usp=drivesdk&ouid=104500706941418853637&rtpof=true&sd=true
Release of LiabilityDismissal of a patienthttps://docs.google.com/document/d/1e0Pd65ZUFYZH-u2GrQAsAhLed-FMWdaMMHlMUHe_njw/edit?usp=drivesdk
Temp Time Sheet updated 10-9-24.pdfNew Patient Paperworkhttps://drive.google.com/file/d/1OMGg-X7C-6-RJOF8KBFybWNfGVDvBxNO/view?usp=drivesdk
Office Policies 12-11-23.pdfNew Patient Paperworkhttps://drive.google.com/file/d/17amEySZf2tSOSqwL-67Jg0cAf0vwtcV3/view?usp=drivesdk
Pt Info.pdfNew Patient Paperworkhttps://drive.google.com/file/d/1uuJ1hD8ttTE0PP3M9mQ1oUzzHu-HyKWL/view?usp=drivesdk
Medical Hx and Dental Hx.pdfNew Patient Paperworkhttps://drive.google.com/file/d/13sqnC9nXvy07GkHO7cWAt2Yr0FHlTtZq/view?usp=drivesdk
New Pt Call Flow Sheet 12-3-18.pdfNew Patient Paperworkhttps://drive.google.com/file/d/1U0HuPnj7IwFFhn2E4RvI_oQtwx1RdNlI/view?usp=drivesdk
Notice of Privacy Practices.pdfNew Patient Paperworkhttps://drive.google.com/file/d/1Ji8GHsY69xlM4y5xiI9DnZyEa8zu3QeE/view?usp=drivesdk
Office Policies- Spanish NV 12-11-23.pdfSpanishhttps://drive.google.com/file/d/1e51u9pCcwWjNn3cmL6tI7Vfr_haWiyTB/view?usp=drivesdk
Medical Hx and Dental Hx- Spanish NV.pdfSpanishhttps://drive.google.com/file/d/17cM34QPUjBr8fbVmatMTEWD3Va0Zd0VP/view?usp=drivesdk
Pt info- SP NV.pdfSpanishhttps://drive.google.com/file/d/1_2u-XLgq7DJqxplq2qANms2LfP4KoJCt/view?usp=drivesdk
Notice of Privacy Practices SP..pdfSpanishhttps://drive.google.com/file/d/1OM1EzKFLZsgrXpwitY9LdjHjuYmBw5-L/view?usp=drivesdk
HealthGuard_Catalog_Spring_2014.pdfSupplieshttps://drive.google.com/file/d/1hE-f_uN4Ks0b_dbNlLoLXXDUeXZjpjPB/view?usp=drivesdk
Conscious Sedation Prescriptions and Instructions.pdfSedationhttps://drive.google.com/file/d/1E98-TVlZsYwK0jApRfYAg3WKzL9cTAJZ/view?usp=drivesdk
Sedation Flow Sheet updated 11-14-23.pdfSedationhttps://drive.google.com/file/d/1Pm8CYdw-6S1OFihEODV6zQ960FVYaDwG/view?usp=drivesdk
Sedation Flow Sheet updated 11-14-23.docxSedationhttps://docs.google.com/document/d/1GOhWBpX6EjC_7fJbSSirN4BQ_6ysSNNx/edit?usp=drivesdk&ouid=104500706941418853637&rtpof=true&sd=true
Sedation PostOp Instruction Handout.pdfSedationhttps://drive.google.com/file/d/1MWQOKwhI5jvrBTbD6qcsXwH4ovvdy7yc/view?usp=drivesdk
Sedation PostOp Instruction Handout.docxSedationhttps://docs.google.com/document/d/1Cd2SnaATs1vWDqw5j_k1UZJpQWAZRmWr/edit?usp=drivesdk&ouid=104500706941418853637&rtpof=true&sd=true
Sedation Instructions-NV.pdfSedationhttps://drive.google.com/file/d/1CHvY7Rw5i52ArUSZXtlkEKLRY0AnLjsk/view?usp=drivesdk
Sedation Instructions-NV.docxSedationhttps://docs.google.com/document/d/1nt88gnrM4ybGNz5-ZA6ee7KsAGq33rl4/edit?usp=drivesdk&ouid=104500706941418853637&rtpof=true&sd=true
Conscious Sedation ConsentSedationhttps://docs.google.com/document/d/144b47B6q-ttdBHsMcqzKs9sYxQl-vR23W54jwwPuFVQ/edit?usp=drivesdk
Conscious Sedation Prescriptions and InstructionsSedationhttps://docs.google.com/document/d/1egps6SYIMNgf8QEoaaf7tWy9aCcN3yuxbjYXYfO7EL0/edit?usp=drivesdk
BASIC REMINDER LIST FOR FRONT DESK STAFF.pdfSedationhttps://drive.google.com/file/d/10Hr5Sa77-UqtCvR-sf2XCBMlQ_FB9NLO/view?usp=drivesdk
Drug Inventory Log.pdfSedationhttps://drive.google.com/file/d/1igT4sYv8FJRWivJkd8tmDCzndJj6yEhR/view?usp=drivesdk
Drug Log & Sedation Instructions.pdfSedationhttps://drive.google.com/file/d/1cbc07c_DiTaQ0BT-Ir67oOgYIN86ExPr/view?usp=drivesdk
Conscious Sedation Consent.pdfSedationhttps://drive.google.com/file/d/1uUD2XbOXbxsjsYA1xNj-IiLfqO-2xW9e/view?usp=drivesdk
Conscious Sedation Consent SP.pdfSpanishhttps://drive.google.com/file/d/1OqdcdxEfS_GsxrtfB0q3HJElzihsP_Wx/view?usp=drivesdk
NV Payroll Sheet.xlsxPayrollhttps://docs.google.com/spreadsheets/d/1Fg59pGY2K8-vDfMb0OnW43t-Eo3CQh1i/edit?usp=drivesdk&ouid=104500706941418853637&rtpof=true&sd=true
Incident Report – NV.pdfPayrollhttps://drive.google.com/file/d/11ZfwOpO61I-ALV_3pJ1GlHyu-R3hb86k/view?usp=drivesdk
Staff Handbook 10-10-23.pdfNew Hire Formshttps://drive.google.com/file/d/1Cm_R9XHeazBEC6p0tCOlN17dpwsh1QqI/view?usp=drivesdk
Emergency Contact Form 8-23-23.pdfNew Hire Formshttps://drive.google.com/file/d/1t6B42an3YRYDiy8T1JruoJAhzfkN8fWE/view?usp=drivesdk
I9 exp 7-31-26.pdfNew Hire Formshttps://drive.google.com/file/d/12jhYziY2stS8KQqYtO56XUBb4gM9FVTL/view?usp=drivesdk
W-4 2023.pdfNew Hire Formshttps://drive.google.com/file/d/1aMV7UVOFLP3D3n3b6qwKHvJQs52Htr6b/view?usp=drivesdk
A-4 2023.pdfNew Hire Formshttps://drive.google.com/file/d/1Bbgx3nzHQmRI_x02rZh9SeBRF47L-8NZ/view?usp=drivesdk
Addendum to Handbook re COVID-19 1-7-22.pdfNew Hire Formshttps://drive.google.com/file/d/1JmQzbDGSp0FXD6Otfv1bWZbB1qRu93KU/view?usp=drivesdk
New Hire Agreement 12-6-21.pdfNew Hire Formshttps://drive.google.com/file/d/1qmod3P0IHMIwgUlYXCFgEV6MmKcGOM9D/view?usp=drivesdk
New Hire Checklist 11-17-21.pdfNew Hire Formshttps://drive.google.com/file/d/1DzwcL7uCgosLcTnBFqgiE1wQLzizAylA/view?usp=drivesdk
Vaccination Documentation Form HepB & Covid-19.pdfNew Hire Formshttps://drive.google.com/file/d/1dO4ztR17W1I8Hg98TzKZP45caWZR8tPX/view?usp=drivesdk
Activate your Humanity Account 2020.pdfNew Hire Formshttps://drive.google.com/file/d/1PZzZhmuCvd_g68AKnX1XcgyEaXEeaiKW/view?usp=drivesdk
Model Release 10-5-17 (1).pdfNew Hire Formshttps://drive.google.com/file/d/1mU1cdCdgGRcd_A1rX6LeuXvW0AUCKyrm/view?usp=drivesdk
Paycheck & W2 Access.pdfNew Hire Formshttps://drive.google.com/file/d/1qLodJc6IEFOLE7R7YPegL7saqiv6bNwf/view?usp=drivesdk
Safety Policy 10-5-17 (1).pdfNew Hire Formshttps://drive.google.com/file/d/1qZp4ZVL262u35OTYb_f71JrjgmLcoxIx/view?usp=drivesdk
Non-Solicitation 10-5-17 (1).pdfNew Hire Formshttps://drive.google.com/file/d/1E7ycESX2NwEa–Z3girecDzLEfSBdJyu/view?usp=drivesdk
HIPAA Confidentiality and Non-Disclosure 10-5-17 (1).pdfNew Hire Formshttps://drive.google.com/file/d/1k5yoxbrVHWQiFawI4XqlhQhjLW28MzX3/view?usp=drivesdk
Hep B OSHA requirement fact sheet (2).pdfNew Hire Formshttps://drive.google.com/file/d/1u4vstJb2Ip6-83FSjf5LEOH4zPvlWL0l/view?usp=drivesdk
Equipment & Supplies Access 10-5-17 (1).pdfNew Hire Formshttps://drive.google.com/file/d/1oR9ooHx7GsQ6nxth7FugCAyHpCkooSFJ/view?usp=drivesdk
Direct Deposit 10-5-17 (1).pdfNew Hire Formshttps://drive.google.com/file/d/1HpNK1TR3luLQ-CpspI61SoPtpo5hXYMd/view?usp=drivesdk
Child Support 10-5-17 (1).pdfNew Hire Formshttps://drive.google.com/file/d/1SjrxaCZfPdoT8WldzoyAq4u3C6NYCQ7J/view?usp=drivesdk
Application for Employment.docNew Hire Formshttps://docs.google.com/document/d/1f7kPNd74xHxow0WV02R2e4TSez97y0EL/edit?usp=drivesdk&ouid=104500706941418853637&rtpof=true&sd=true
Handbook Acknowledgement.pdfNew Hire Formshttps://drive.google.com/file/d/1UtcmljSRRDDqCO50HLMxpjZ02xj_oJ5F/view?usp=drivesdk
Laser Manual.pdfLaser Info/ Logshttps://drive.google.com/file/d/1Wso7PpM7n9_wClUU4TpDVqxIRCg1Yebn/view?usp=drivesdk
Laser Eyewear Log.pdfLaser Info/ Logshttps://drive.google.com/file/d/14fEtoaRMD94SiwCP6gE5kY63w1_fmAFe/view?usp=drivesdk
Laser Calibration Log.xlsxLaser Info/ Logshttps://docs.google.com/spreadsheets/d/1wBkxKw7fdq_6gKy2qyqJNzrgVQKzdZv7/edit?usp=drivesdk&ouid=104500706941418853637&rtpof=true&sd=true
Insurance Eligibility Revised 7-21-21Insurance Verificationhttps://docs.google.com/document/d/15MqykY7Iha9k6DcWKyTWfqZ0Kiw-4dKmR8p9sUhp840/edit?usp=drivesdk
Ins Notes.docxInsurance Verificationhttps://docs.google.com/document/d/1mufMW-Zsgu17uAtL2CJSPQ9pYCZCiXpi/edit?usp=drivesdk&ouid=104500706941418853637&rtpof=true&sd=true
Insurance Eligibility Revised 7-21-21Insurance Verificationhttps://docs.google.com/document/d/16ni63B3iG1TkWcuaUPtFsweauv8DCWo-voT9x6S4WXY/edit?usp=drivesdk
Insurance Eligibility Revised 7-21-21.pdfInsurance Verificationhttps://drive.google.com/file/d/1xG-VvcjFBD8rml7U-kjdZE9xOZaGi2Zh/view?usp=drivesdk
Boot Camp Instructions-Closys.pdfHygienehttps://drive.google.com/file/d/1WuC1DEYBBpxeh4-X3U9SXNA6vnPRCWKc/view?usp=drivesdk
Boot Camp Instructions-Closys.docxHygienehttps://docs.google.com/document/d/1lcr_1FXJqBM_Auotby0wkJfXKCW-ZuPZ/edit?usp=drivesdk&ouid=104500706941418853637&rtpof=true&sd=true
Boot Camp Instructions Acclean NV.pdfHygienehttps://drive.google.com/file/d/13G2Ito4kUA1LnSONGgJxbrhCIqSzqnb_/view?usp=drivesdk
Temp HYG.rtfHygienehttps://drive.google.com/file/d/1RYBqiLdQ9BD2-5REHhZuczQnuy4tB7-3/view?usp=drivesdk
Patient handout for Laser Bacterial Reduction-NV 4.21.22.pdfHygienehttps://drive.google.com/file/d/1hTPXDnrogDA6JWugt5xZelXqM2RACsFE/view?usp=drivesdk