Managing Patients: The Patient Experience Guidelines for Pratctice Success. American Dental Association

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Sample Cancellation or Rescheduling Policy

       Sample Late Arrival Policy

       Sample Scripts

       Informed Consent/Refusal

       Sample Informed Consent Form

       Sample Informed Refusal Form

       Specialty Referrals

       Sample Referral Form to Dental Specialist

       Sample Referral Form for Medical Care (Adult)

       Sample Referral Form for Medical Care (Child)

       Sample Referral Form for Dental Care (Adult and Child)

       Miscellaneous Policies

       Treatment Recommendations

       Case Presentations

       Sample Photography Release Form

       Accepted Treatment

       Emergency Treatment

       Sample Triage Reference Form for Front Desk Staff

       Post Treatment and Follow-up

       Recare Appointments

       Documentation/Patient Records

       Appointment Confirmations

       Patient Satisfaction Surveys

       Sample Copy for Sending Patients a Satisfaction e-Survey

       Sample Reminder to Increase Patient Survey Response Rate

       Sample Patient Satisfaction Survey

       Patient Relations

       Reactivation/Retention

       Noncompliance

       Sample Patient Reactivation Phone Scripts

       Sample Letter to Reactivate a Lapsed Patient

       Tips for Customizing the “What’s New” Reactivation Letter

       Sample Patient Reactivation Letters

       Complaints

       Refunds and Discounts

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