OFFICE MANAGER CHECKLIST | FRONT OFFICE FORMS | DAILY, NIGHTLY, WEEKLY, MONTHLY CHECKLIST FOR OFFICE MANAGERS | https://proverusmanagement.com/wp-content/uploads/2019/03/Office-Manager-updated-2-26-19.pdf |
FINANCIAL COORDINATOR CHECKLIST | FRONT OFFICE FORMS | DAILY, WEEKLY CHECKLIST FOR THE FINANCIAL COORDINATOR | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Financial-Coordinator-Checklist-Updated-9-27-17.docx |
PATIENT COORDINATOR CHECKLIST | FRONT OFFICE FORMS | DAILY, WEEKLY CHECKLIST FOR PATIENT COORDINATOR | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2018/12/Patient-Coordinator-updated-11-27-18.pdf |
CHART DEACTIVATION CHECKLIST | FRONT OFFICE FORMS | PATIENT DEACTIVATION | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Chart-Deactivation-Checklist.docx |
END OF MONTH CHECKLIST | FRONT OFFICE FORMS | END OF MONTH REPORTS | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/EOM-Checklist-updated-10-01-17.docx |
MEDICAL RELEASE | FRONT OFFICE FORMS | MEDICAL CLEARANCE | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Medical-Release.docx |
RECORD RELEASE | FRONT OFFICE FORMS | RECORD RELEASE CONSENT | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Record-Release-Consent.docx |
APPEAL FOR BUILDUP TO BE CONSIDERED | FRONT OFFICE FORMS | INSURANCE APPEAL | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2018/01/Appeal-for-Build-up-to-be-considered-part-of.docx |
RELEASE OF LIABILITY | FRONT OFFICE FORMS | REFUND OF MONEY AND RELEASE OF LIABILITY | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2018/12/Release_of_Liability2.docx |
NEW PATIENT CALL FLOW SHEET | FRONT OFFICE FORMS | NEW 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. ASSISTANT | FRONT OFFICE FORMS | DOCTOR ASSISTANT DAILY, WEEKLY, ONGOING DUTIES | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2018/12/Dr-Asst-updated-12-10-18.pdf |
HYGIENE ASSISTANT | FRONT OFFICE FORMS | HYGIENE ASSISTANT DUTIES. DAILY, WEEKLY, ONGOING CHECKLIST | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2018/12/Hyg-Asst-updated-11-15-18.pdf |
REGIONAL MANAGER | FRONT OFFICE FORMS | REGIONAL MANAGER DAILY, WEEKLY, MONTHLY CHECKLIST | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2018/12/Regional-Manager-updated-11-14-18.pdf |
PATIENT INFORMATION | NEW PATIENT PAPERWORK | PATIENT"S INFO | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Pt-Info.docx |
MEDICAL HISTORY | NEW PATIENT PAPERWORK | MEDICAL HISTORY | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Medical-Hx.docx |
DENTAL HISTORY | NEW PATIENT PAPERWORK | DENTAL HISTORY | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Dental-Hx.docx |
OFFICE POLICIES | NEW PATIENT PAPERWORK | OFFICE POLICIES | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2018/12/Office_Policies1.docx |
NOTICE OF PRIVACY PRACTICES | NEW PATIENT PAPERWORK | Notice of Privacy Practices | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Notice-of-Privacy-Practices.docx |
PATIENT INFORMATION | NEW PATIENT PAPERWORK – SPANISH | PATIENT"S INFO -MFDO-SP | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Pt-info-MFDO-SP.docx |
MEDICAL HISTORY | NEW PATIENT PAPERWORK – SPANISH | MEDICAL RECORD MFDO-SP | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Medical-HX-MFDO-SP.docx |
DENTAL HISTORY | NEW PATIENT PAPERWORK – SPANISH | DENTAL HISTORY MFDO-SP | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Dental-Hx-MFDO-SP.docx |
OFFICE POLICIES | NEW PATIENT PAPERWORK – SPANISH | OFFICE POLICIES-MFDO-SP | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Office-Policies-MFDO-SP.docx |
NOTICE OF PRIVACY PRACTICES | NEW PATIENT PAPERWORK – SPANISH | Notice-of-Privacy-Practices-SP | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Notice-of-Privacy-Practices-SP.docx |
ARESTIN PATIENT INFORMATION | PATIENT HANDOUTS | Arestin-Pt-Handout.pdf | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Arestin-Pt-Handout.pdf |
HYGIENE BOOTCAMP INSTRUCTIONS (PERIOGARD) | PATIENT HANDOUTS | BOOT CAMP INSTRUCTIONS 1 | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2018/12/Boot_Camp_Instructions1.docx |
HYGIENE BOOTCAMP INSTRUCTIONS (STELLALIFE) | PATIENT HANDOUTS | Boot-Camp-Instructions-StellaLife | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2019/02/Boot-Camp-Instructions-StellaLife.docx |
EXT POST-OP INSTRUCTIONS | PATIENT HANDOUTS | PostOp-no-office-11-7-18.pdf | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2018/11/PostOp-no-office-11-7-18.pdf |
IMPLANT POST-OP INSTRUCTIONS | PATIENT HANDOUTS | Implant-Post-Op | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Implant-Post-Op.docx |
LIFETIME WHITENING INSTRUCTIONS | PATIENT HANDOUTS | Lifetime-Whitening-Application-Guide | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Lifetime-Whitening-Application-Guide.docx |
ORTHODONTIC CARE INSTRUCTIONS | PATIENT HANDOUTS | Surgical Implant Informed Consent | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Implant-Consent.docx |
SCALING AND ROOT PLANING INSTRUCTIONS | PATIENT HANDOUTS | Scaling-and-Root-Planning-Pt-Handout | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Scaling-and-Root-Planning-Pt-Handout.docx |
PATIENT HANDOUT SRP PATIENT | PATIENT HANDOUTS | Patient-hand-out-SRPs-None-Office | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2018/12/Pt-hand-out-SRPs-None-Office.docx |
HANDOUT FOR SEALANTS | PATIENT HANDOUTS | Dental Sealant Information for Patients | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2018/01/None-Dr.-Pope-Office.pdf |
PERIODONTAL SYSTEMIC LINKS (SIMPLE) | PATIENT HANDOUTS | Periodontal Systemic Links | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2019/02/PerioLinkssimple.pdf |
PERIODONTAL SYSTEMIC LINKS (GRAPHICS) | PATIENT HANDOUTS | PD-LINKS | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2019/02/PD-LINKS-3.pdf |
CAVITY FREE CHECKUP INFORMATION | PATIENT HANDOUTS | Cavity-Free Check-ups | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Cavity-Free-Checkup-Pt-Handout.pdf |
POST-OP ORAL SURGERY | PATIENT HANDOUTS | PostOp-Oral-Surgery-None-Dr-Pope-Office | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2019/02/PostOp-Oral-Surgery-None-Dr-Pope-Office.docx |
INSURANCE ELIGIBILITY & VERIFICATION BREAKDOWN | INSURANCE VERIFICATION | Insurance Eligibility | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2018/12/Ins-Eligibility-Pink-Sheet.pdf |
INSURANCE NOTE FOR FAMILY FILE | INSURANCE VERIFICATION | INSERT DATE STAMP & INITIALS | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/10/Ins-Notes.doc |
HANDOUT CAVITY FREE | HYGIENE INFORMATION | Handouts Cavity-Free Check-ups!
| http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/08/Handout_Cavity_Free_Checkups.pdf |
CHILD PROPHY | HYGIENE INFORMATION | Child Prophy | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/08/Child-Prophy.pdf |
HANDOUT SCALING ROOT PLANE | HYGIENE INFORMATION | INSTRUCTIONS FOR DEEP SCALE PATIENTS | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/08/Handout_Scaling_Root_Plane_postop.pdf |
HANDOUT ARESTIN POST-OP | HYGIENE INFORMATION | Patient Information
Arestin® Periodontal Treatment | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/08/Handout_Arestin_postop.pdf |
HYGIENE FLOW CHART | HYGIENE INFORMATION | Revised Hygiene Flowsheet | https://proverusmanagement.com/wp-content/uploads/2019/04/Revised-Hyg-flow-sheet.pdf |
BONEGRAFT CONSENT | CONSENT FORMS | Bonegraft-Consent | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Bonegraft-Consent.docx |
CONSCIOUS SEDATION CONSENT | CONSENT FORMS | Conscious-Sedation-Consent-updated-9-25-17-UFDO | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Conscious-Sedation-Consent-updated-9-25-17-UFDO.docx |
DEBAND CONSENT | CONSENT FORMS | Deband-Consent | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Deband-Consent.docx |
ENDO CONSENT | CONSENT FORMS | Endodontic (Root Canal) Treatment Consent | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Endo-Consent.docx |
EXT CONSENT | CONSENT FORMS | Tooth Extraction Consent | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Ext-Consent.docx |
GENERAL DENTISTRY CONSENT | CONSENT FORMS | Consent-Form-General-Dentistry | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Consent-Form-General-Dentistry.docx |
IMPLANT CONSENT | CONSENT FORMS | Implant-Consent | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Implant-Consent.docx |
LIFETIME WHITENING CONSENT | CONSENT FORMS | Lifetime-Whitening-Consent | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Lifetime-Whitening-Consent.docx |
ORTHO CONSENT | CONSENT FORMS | Ortho-Consent | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Ortho-Consent.docx |
PLATELET RICH FIBRIN CONSENT | CONSENT FORMS | PRF-Consent-no-office-10-31-18 | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2018/11/PRF-Consent-no-office-10-31-18.pdf |
PRF CONSENT | CONSENT FORMS | PRF-Consent-None-Office | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2019/02/PRF-Consent-None-Office.docx |
REFUSAL OF PERIO CONSENT | CONSENT FORMS | Refusal of Periodontal Treatment Consent | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Refusal-of-Perio-Tx.docx |
RMV AMG FILL CONSENT | CONSENT FORMS | Removal of Amalgam Fillings Consent | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Rmv-Amg-Fill.docx |
SILVER DIAMINE FLOURIDE CONSENT | CONSENT FORMS | Silver Diamine Fluoride Consent | https://proverusmanagement.com/wp-content/uploads/2019/07/Silver-Diamine-Fluoride-Consent-None-Dr.-Pope-Office.docx |
SINUS AUGMENTATION CONSENT | CONSENT FORMS | Sinus Augmentation Bone Regenerative Surgery Consent | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Sinus-Augmentation.docx |
SURGICAL EXPOSURE OF AN IMPACTED TOOTH CONSENT | CONSENT FORMS | Surgical exposure of an Impacted Tooth Informed Consent form | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Surgical-Exposure-of-an-Impacted-Tooth.docx |
XRAY REFUSAL CONSENT | CONSENT FORMS | X-Ray Refusal Consent | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/X-ray-Refusal.docx |
BONEGRAFT CONSENT | CONSENT FORMS – SPANISH | Bonegraft Consent SP | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Bonegraft-Consent-SP.docx |
CONSCIOUS SEDATION CONSENT | CONSENT FORMS – SPANISH | Conscious Sedation Consent SP | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Conscious-Sedation-Consent-SP.docx |
DEBAND CONSENT | CONSENT FORMS – SPANISH | Orthodontic De-Band Consent | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Deband-Consent.docx |
ENDO CONSENT | CONSENT FORMS – SPANISH | Endo Consent SP | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Endo-Consent-SP.docx |
EXT CONSENT | CONSENT FORMS – SPANISH | EXTRACTION Consent-SP | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/EXT-Consent-SP.docx |
GENERAL DENTISTRY CONSENT | CONSENT FORMS – SPANISH | General Dentistry Consent-SP | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/General-Dentistry-Consent-SP.docx |
IMPLANT CONSENT | CONSENT FORMS – SPANISH | Implant Consent SP | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Implant-Consent-SP.docx |
LIFETIME WHITENING CONSENT | CONSENT FORMS – SPANISH | Lifetime Whitening Consent MFDO-SP | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Lifetime-Whitening-Consent-MFDO-SP-1.docx |
ORTHO CONSENT | CONSENT FORMS – SPANISH | Ortho Consent-SP | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Ortho-Consent-SP.docx |
REFUSAL OF PERIO CONSENT | CONSENT FORMS – SPANISH | Refusal of Perio Consent SP | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Refusal-of-Perio-Txment-m-SP-1.docx |
RMV AMG FILL CONSENT | CONSENT FORMS – SPANISH | Maricopa Rmv Amg Fill-SP | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Maricopa-Rmv-Amg-Fill-SP-1.docx |
SINUS AUGMENTATION CONSENT | CONSENT FORMS – SPANISH | Sinus Augmentation Bone Regenerative Surgery Consent | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Sinus-Augmentation.docx |
SURGICAL EXPOSURE OF AN IMPACTED TOOTH CONSENT | CONSENT FORMS – SPANISH | Surgical exposure of an Impacted Tooth Informed Consent form | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Surgical-Exposure-of-an-Impacted-tooth-SP-1.docx |
XRAY REFUSAL CONSENT | CONSENT FORMS – SPANISH | Xray Refusal SP | http://2bwap43w7rdj1nqfyzj3km96.wpengine.netdna-cdn.com/wp-content/uploads/2017/11/Xray-Refusal-SP-2.docx |
STAFF HANDBOOK | STAFF HANDBOOK | Staff-Handbook-9-20-19-1 | https://proverusmanagement.com/wp-content/uploads/2019/09/Staff-Handbook-9-20-19-1.pdf |
CORE EMERGENCY DRUG | FRONT OFFICE FORMS | Core Emergency Drugs V2 | https://proverusmanagement.com/wp-content/uploads/2019/07/Core_Emergency_Drugs_V2.docx |
User Guide – Opioid Safety and How to Use Naloxone 8-29-18.pdf | PATIENT HANDOUTS | User Guide-Opioid Safety and How to Use Naloxone 8-29-18 | https://proverusmanagement.com/wp-content/uploads/2019/08/User-Guide-Opioid-Safety-and-How-to-Use-Naloxone-8-29-18.pdf |
SEDATION INSTRUCTIONS | PATIENT HANDOUTS | PRE-SEDATION INSTRUCTIONS | https://proverusmanagement.com/wp-content/uploads/2019/08/Sedation-Instructions.docx |
Conscious Sedation Prescriptions and Instructions | PATIENT HANDOUTS | Conscious Sedation Prescriptions and Instructions | https://proverusmanagement.com/wp-content/uploads/2019/09/Conscious-Sedation-Prescriptions-and-Instructions.docx |