F021 - Patient of Record Case Acceptance Monitor

Decide what dollar amount of diagnosed treatment constitutes "significant" dentistry for your office, and enter those cases on this form. At the end of the month, compute your average case acceptance rate for patients of record by dividing the amount of treatment accepted by the amount diagnosed. Healthy range for patients of record is 85-90%. This handy form also records the financial arrangement made, appointment scheduled, treatment phased, notes and more. 3-hole punched.

Each package contains 100 sheets.