Office Support Docs

FILE NAME
CATEGORY
DESCRIPTION
LINK
OFFICE MANAGER CHECKLISTFRONT OFFICE FORMSDAILY, NIGHTLY, WEEKLY, MONTHLY CHECKLIST FOR OFFICE MANAGERShttps://proverusmanagement.com/wp-content/uploads/2019/03/Office-Manager-updated-2-26-19.pdf
FINANCIAL COORDINATOR CHECKLISTFRONT OFFICE FORMSDAILY, WEEKLY CHECKLIST FOR THE FINANCIAL COORDINATORhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Financial-Coordinator-Checklist-Updated-9-27-17.docx
PATIENT COORDINATOR CHECKLISTFRONT OFFICE FORMSDAILY, WEEKLY CHECKLIST FOR PATIENT COORDINATORhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2018/12/Patient-Coordinator-updated-11-27-18.pdf
CHART DEACTIVATION CHECKLISTFRONT OFFICE FORMSPATIENT DEACTIVATIONhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Chart-Deactivation-Checklist.docx
END OF MONTH CHECKLISTFRONT OFFICE FORMSEND OF MONTH REPORTShttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/EOM-Checklist-updated-10-01-17.docx
MEDICAL RELEASEFRONT OFFICE FORMSMEDICAL CLEARANCEhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Medical-Release.docx
RECORD RELEASEFRONT OFFICE FORMSRECORD RELEASE CONSENThttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Record-Release-Consent.docx
APPEAL FOR BUILDUP TO BE CONSIDEREDFRONT OFFICE FORMSINSURANCE APPEALhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2018/01/Appeal-for-Build-up-to-be-considered-part-of.docx
RELEASE OF LIABILITYFRONT OFFICE FORMSREFUND OF MONEY AND RELEASE OF LIABILITYhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2018/12/Release_of_Liability2.docx
NEW PATIENT CALL FLOW SHEETFRONT OFFICE FORMSNEW PATIENT CALL FLOW. PHONE TRAINING.http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2018/12/New-Pt-Call-Flow-Sheet-12-3-18.pdf
DR. ASSISTANTFRONT OFFICE FORMSDOCTOR ASSISTANT DAILY, WEEKLY, ONGOING DUTIEShttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2018/12/Dr-Asst-updated-12-10-18.pdf
HYGIENE ASSISTANTFRONT OFFICE FORMSHYGIENE ASSISTANT DUTIES. DAILY, WEEKLY, ONGOING CHECKLISThttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2018/12/Hyg-Asst-updated-11-15-18.pdf
REGIONAL MANAGERFRONT OFFICE FORMSREGIONAL MANAGER DAILY, WEEKLY, MONTHLY CHECKLISThttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2018/12/Regional-Manager-updated-11-14-18.pdf
PATIENT INFORMATIONNEW PATIENT PAPERWORKPATIENT"S INFOhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Pt-Info.docx
MEDICAL HISTORYNEW PATIENT PAPERWORKMEDICAL HISTORYhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Medical-Hx.docx
DENTAL HISTORYNEW PATIENT PAPERWORKDENTAL HISTORYhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Dental-Hx.docx
OFFICE POLICIESNEW PATIENT PAPERWORKOFFICE POLICIEShttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2018/12/Office_Policies1.docx
NOTICE OF PRIVACY PRACTICESNEW PATIENT PAPERWORKNotice of Privacy Practiceshttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Notice-of-Privacy-Practices.docx
PATIENT INFORMATIONNEW PATIENT PAPERWORK – SPANISHPATIENT"S INFO -MFDO-SPhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Pt-info-MFDO-SP.docx
MEDICAL HISTORYNEW PATIENT PAPERWORK – SPANISHMEDICAL RECORD MFDO-SPhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Medical-HX-MFDO-SP.docx
DENTAL HISTORYNEW PATIENT PAPERWORK – SPANISHDENTAL HISTORY MFDO-SPhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Dental-Hx-MFDO-SP.docx
OFFICE POLICIESNEW PATIENT PAPERWORK – SPANISHOFFICE POLICIES-MFDO-SPhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Office-Policies-MFDO-SP.docx
NOTICE OF PRIVACY PRACTICESNEW PATIENT PAPERWORK – SPANISHNotice-of-Privacy-Practices-SPhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Notice-of-Privacy-Practices-SP.docx
ARESTIN PATIENT INFORMATIONPATIENT HANDOUTSArestin-Pt-Handout.pdfhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Arestin-Pt-Handout.pdf
HYGIENE BOOTCAMP INSTRUCTIONS (PERIOGARD)PATIENT HANDOUTSBOOT CAMP INSTRUCTIONS 1http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2018/12/Boot_Camp_Instructions1.docx
HYGIENE BOOTCAMP INSTRUCTIONS (STELLALIFE)PATIENT HANDOUTSBoot-Camp-Instructions-StellaLifehttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2019/02/Boot-Camp-Instructions-StellaLife.docx
EXT POST-OP INSTRUCTIONSPATIENT HANDOUTSPostOp-no-office-11-7-18.pdfhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2018/11/PostOp-no-office-11-7-18.pdf
IMPLANT POST-OP INSTRUCTIONSPATIENT HANDOUTSImplant-Post-Ophttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Implant-Post-Op.docx
LIFETIME WHITENING INSTRUCTIONSPATIENT HANDOUTSLifetime-Whitening-Application-Guidehttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Lifetime-Whitening-Application-Guide.docx
ORTHODONTIC CARE INSTRUCTIONSPATIENT HANDOUTSSurgical Implant Informed Consenthttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Implant-Consent.docx
SCALING AND ROOT PLANING INSTRUCTIONSPATIENT HANDOUTSScaling-and-Root-Planning-Pt-Handouthttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Scaling-and-Root-Planning-Pt-Handout.docx
PATIENT HANDOUT SRP PATIENTPATIENT HANDOUTSPatient-hand-out-SRPs-None-Officehttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2018/12/Pt-hand-out-SRPs-None-Office.docx
HANDOUT FOR SEALANTSPATIENT HANDOUTSDental Sealant Information for Patientshttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2018/01/None-Dr.-Pope-Office.pdf
PERIODONTAL SYSTEMIC LINKS (SIMPLE)PATIENT HANDOUTSPeriodontal Systemic Linkshttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2019/02/PerioLinkssimple.pdf
PERIODONTAL SYSTEMIC LINKS (GRAPHICS)PATIENT HANDOUTSPD-LINKShttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2019/02/PD-LINKS-3.pdf
CAVITY FREE CHECKUP INFORMATIONPATIENT HANDOUTSCavity-Free Check-upshttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Cavity-Free-Checkup-Pt-Handout.pdf
POST-OP ORAL SURGERYPATIENT HANDOUTSPostOp-Oral-Surgery-None-Dr-Pope-Officehttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2019/02/PostOp-Oral-Surgery-None-Dr-Pope-Office.docx
INSURANCE ELIGIBILITY & VERIFICATION BREAKDOWNINSURANCE VERIFICATIONInsurance Eligibilityhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2018/12/Ins-Eligibility-Pink-Sheet.pdf
INSURANCE NOTE FOR FAMILY FILEINSURANCE VERIFICATIONINSERT DATE STAMP & INITIALShttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Ins-Notes.doc
HANDOUT CAVITY FREEHYGIENE INFORMATIONHandouts Cavity-Free Check-ups!
http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/08/Handout_Cavity_Free_Checkups.pdf
CHILD PROPHYHYGIENE INFORMATIONChild Prophyhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/08/Child-Prophy.pdf
HANDOUT SCALING ROOT PLANEHYGIENE INFORMATIONINSTRUCTIONS FOR DEEP SCALE PATIENTShttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/08/Handout_Scaling_Root_Plane_postop.pdf
HANDOUT ARESTIN POST-OPHYGIENE INFORMATIONPatient Information
ArestinĀ® Periodontal Treatment
http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/08/Handout_Arestin_postop.pdf
HYGIENE FLOW CHARTHYGIENE INFORMATIONRevised Hygiene Flowsheethttps://proverusmanagement.com/wp-content/uploads/2019/04/Revised-Hyg-flow-sheet.pdf
BONEGRAFT CONSENTCONSENT FORMSBonegraft-Consenthttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Bonegraft-Consent.docx
CONSCIOUS SEDATION CONSENTCONSENT FORMSConscious-Sedation-Consent-updated-9-25-17-UFDOhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Conscious-Sedation-Consent-updated-9-25-17-UFDO.docx
DEBAND CONSENTCONSENT FORMSDeband-Consenthttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Deband-Consent.docx
ENDO CONSENTCONSENT FORMSEndodontic (Root Canal) Treatment Consenthttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Endo-Consent.docx
EXT CONSENTCONSENT FORMSTooth Extraction Consenthttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Ext-Consent.docx
GENERAL DENTISTRY CONSENTCONSENT FORMSConsent-Form-General-Dentistryhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Consent-Form-General-Dentistry.docx
IMPLANT CONSENTCONSENT FORMSImplant-Consenthttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Implant-Consent.docx
LIFETIME WHITENING CONSENTCONSENT FORMSLifetime-Whitening-Consenthttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Lifetime-Whitening-Consent.docx
ORTHO CONSENTCONSENT FORMSOrtho-Consenthttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Ortho-Consent.docx
PLATELET RICH FIBRIN CONSENTCONSENT FORMSPRF-Consent-no-office-10-31-18http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2018/11/PRF-Consent-no-office-10-31-18.pdf
PRF CONSENTCONSENT FORMSPRF-Consent-None-Office http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2019/02/PRF-Consent-None-Office.docx
REFUSAL OF PERIO CONSENTCONSENT FORMSRefusal of Periodontal Treatment Consenthttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Refusal-of-Perio-Tx.docx
RMV AMG FILL CONSENTCONSENT FORMSRemoval of Amalgam Fillings Consenthttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Rmv-Amg-Fill.docx
SILVER DIAMINE FLOURIDE CONSENTCONSENT FORMSSilver Diamine Fluoride Consenthttps://proverusmanagement.com/wp-content/uploads/2019/07/Silver-Diamine-Fluoride-Consent-None-Dr.-Pope-Office.docx
SINUS AUGMENTATION CONSENTCONSENT FORMSSinus Augmentation Bone Regenerative Surgery Consenthttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Sinus-Augmentation.docx
SURGICAL EXPOSURE OF AN IMPACTED TOOTH CONSENTCONSENT FORMSSurgical exposure of an Impacted Tooth Informed Consent formhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Surgical-Exposure-of-an-Impacted-Tooth.docx
XRAY REFUSAL CONSENTCONSENT FORMSX-Ray Refusal Consenthttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/X-ray-Refusal.docx
BONEGRAFT CONSENTCONSENT FORMS – SPANISHBonegraft Consent SPhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Bonegraft-Consent-SP.docx
CONSCIOUS SEDATION CONSENTCONSENT FORMS – SPANISHConscious Sedation Consent SPhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Conscious-Sedation-Consent-SP.docx
DEBAND CONSENTCONSENT FORMS – SPANISHOrthodontic De-Band Consenthttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Deband-Consent.docx
ENDO CONSENTCONSENT FORMS – SPANISHEndo Consent SPhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Endo-Consent-SP.docx
EXT CONSENTCONSENT FORMS – SPANISHEXTRACTION Consent-SPhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/EXT-Consent-SP.docx
GENERAL DENTISTRY CONSENTCONSENT FORMS – SPANISHGeneral Dentistry Consent-SPhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/General-Dentistry-Consent-SP.docx
IMPLANT CONSENTCONSENT FORMS – SPANISHImplant Consent SPhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Implant-Consent-SP.docx
LIFETIME WHITENING CONSENTCONSENT FORMS – SPANISHLifetime Whitening Consent MFDO-SPhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Lifetime-Whitening-Consent-MFDO-SP-1.docx
ORTHO CONSENTCONSENT FORMS – SPANISHOrtho Consent-SPhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Ortho-Consent-SP.docx
REFUSAL OF PERIO CONSENTCONSENT FORMS – SPANISHRefusal of Perio Consent SPhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Refusal-of-Perio-Txment-m-SP-1.docx
RMV AMG FILL CONSENTCONSENT FORMS – SPANISHMaricopa Rmv Amg Fill-SPhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Maricopa-Rmv-Amg-Fill-SP-1.docx
SINUS AUGMENTATION CONSENTCONSENT FORMS – SPANISHSinus Augmentation Bone Regenerative Surgery Consenthttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Sinus-Augmentation.docx
SURGICAL EXPOSURE OF AN IMPACTED TOOTH CONSENTCONSENT FORMS – SPANISHSurgical exposure of an Impacted Tooth Informed Consent formhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Surgical-Exposure-of-an-Impacted-tooth-SP-1.docx
XRAY REFUSAL CONSENTCONSENT FORMS – SPANISHXray Refusal SPhttp://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Xray-Refusal-SP-2.docx
STAFF HANDBOOKSTAFF HANDBOOKStaff-Handbook-9-20-19-1https://proverusmanagement.com/wp-content/uploads/2019/09/Staff-Handbook-9-20-19-1.pdf
CORE EMERGENCY DRUGFRONT OFFICE FORMSCore Emergency Drugs V2https://proverusmanagement.com/wp-content/uploads/2019/07/Core_Emergency_Drugs_V2.docx
User Guide – Opioid Safety and How to Use Naloxone 8-29-18.pdfPATIENT HANDOUTSUser Guide-Opioid Safety and How to Use Naloxone 8-29-18https://proverusmanagement.com/wp-content/uploads/2019/08/User-Guide-Opioid-Safety-and-How-to-Use-Naloxone-8-29-18.pdf
SEDATION INSTRUCTIONSPATIENT HANDOUTSPRE-SEDATION INSTRUCTIONShttps://proverusmanagement.com/wp-content/uploads/2019/08/Sedation-Instructions.docx
Conscious Sedation Prescriptions and InstructionsPATIENT HANDOUTSConscious Sedation Prescriptions and Instructionshttps://proverusmanagement.com/wp-content/uploads/2019/09/Conscious-Sedation-Prescriptions-and-Instructions.docx