Over 90 pages of sample forms custom designed to help you manage your practice more efficiently. All the forms you ever wanted and don't have time to write yourself. Just add your logo, name, address, and phone number to the forms and they're ready to be reproduced.

A real time saver!

Forms Book Contents

Section I PATIENT INFORMATION FORMS

  • Patient Information
  • Child's Patient Information
  • Preliminary Case History
  • Patient Information Form

Section II THANK YOU'S

  • Child
  • Confirmation
  • Gift Certificate
  • Current Patient
  • New Patient
  • Former Patient
  • Recommendation
  • Referral

Section III RECALL NOTICES

  • Recall Philosophy
  • Re-schedule Appointment
  • Missed Appointments
  • Teen or Child's Visual
  • Child's Recall
  • Cataract Patient Recall
  • Diabetic Patient Recall
  • Periodic Visual Exam
  • Reminder of Scheduled Exam
  • Scheduled Eye Health Recall
  • Recall for Patient over 40 years of Age

Section IV CONTACT LENSES

  • Contact Lens Policies
  • Contact Lens Selection Questionnaire
  • Wearing Schedule
  • Do's and Don'ts
  • Cosmetics and Your Contacts
  • Use of Enzymatic Cleaner
  • Care and Handling Soft Lenses
  • Thank You
  • New Patient
  • Recall for Scheduled Contact Lens Appointment
  • One Month Follow Up Message
  • Two Year Reminder
  • Contact Lens Service Warranty
  • Contact Lens Service Agreement
  • Extended Wear - Fee Schedule and Policy
  • 100% Extended Wear Contact Lens Maintenance Agreement
  • Extended Wear Missed Appointment
  • Confirming Appointment for New Contact Lens Patient
  • Telephone Inquiry Follow-Up
Section V EYEWEAR

  • Frame Release Form
  • 100% Eyewear Warranty
  • Eyewear Replacement Policy
  • Caring For Frame and Lenses

Section VI COLLECTION AND BILLING

  • Collections/Billing
  • Collection/Pre-call Planning
  • Collection Letter
  • Budget Plan Agreement/Receipt
  • Statement of Services
  • Statement of Services - Attending Doctor's Statement

Section VII PATIENT MANAGEMENT AND OFFICE ORGANIZERS

  • Patient Survey
  • Testing Release Form
  • Explanation of Additional Fee for Visual Fields Testing
  • Consultation Letter
  • Inactive Patient Letter
  • Request of Records Letter
  • Transfer Of Records Letter
  • Appointment
  • Patient Rx Control and Inventory Sheet
  • Telephone Inquiry Log
  • Office Weekly Work Sheet

Section VIII PERSONNEL

  • Job Description Form
  • Job Performance Review
  • Personnel Performance Evaluation
  • Critique Of Service Skills
  • Application for Employment
  • Application for Position
  • Telephone Reference Check

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