Clinic Forms Package

Clinic Forms Package

Curious how we handle our clinic operations? All the forms we use in our everyday practice, which have been fine-tuned and optimized over many years are available for purchase.

Clinical Forms Package:

Nearly 50 forms are included in our package
Cost breakdown per form is less than $11 per form!
Individual forms are not available for purchase.
The cost for the Clinic Forms package is $495.00
(Clinic Forms Package is included with our Apprenticeship Program)

    List of Forms:

  • Acupressure Therapy Workshop
  • Acupressure Workshop Arms/Hands
  • Acupressure Workshop Legs/Feet
  • Acupressure Workshop Sign-up
  • Kids Acupressure Workshop
  • New Patient Intake Packet (20 pages)
  • Day 1 Protocol (front desk)
  • Day 1 Questionnaire
  • Day 1 Health History
  • Day 1 Script
  • Day 1 Reading Set
  • Day 2 Reading Set
  • Day 3 Reading Set
  • Day 4 Reading Set
  • Report of Findings (Day 3)
  • Daily Treatment Record
  • Treatment History
  • Dietary 1
  • Dietary 2
  • Patient Progress Graph
  • Re-Exam
  • Function Graph
  • Front Desk Procedures
  • Open/Mid/Closing Checklist
  • Change of Schedule
  • Credit Card Authorization
  • Daily Reconciliation Sheet
  • Daily Stats
  • Expense Report
  • Incident Report
  • Initial Consult Tracking
  • Insurance Verification
  • Patient Plan Focus
  • Stress Survey
  • Superbill (insurance billing)
  • Patient Consultation Summary
  • Payment Options
  • Schedule of Treatments & Cost of Care Agreement
  • Herbal Consultation
  • AWC Custom Herb Formulas
  • Single Herb/Formula Tally Sheet
  • Instructions for Using Chinese Herbal Formulas
  • Informed Consent
  • Notice of Privacy Practices
  • Minor Child Authorization to Treat
  • PIP Treatment History Form
  • PIP Insurance Verification
  • Appointment List Color Codes

Complete Video Course: How to use the Doane Clinic Forms Package System


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