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ADA Guide to Private Practice
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21 printer ready forms on disc every successful private practice needs on hand. Forms cover office start-up and management; and dietitian tools. The forms are intended to save your time. No need to reinvent the wheel. Instead focus your energy on marketing and networking your private practice.
| All forms packages in three different file formats: |
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MS Word with place to insert logo |
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MS Word without logo option |
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PDF without logo option |
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| Buy Both ADA Private Practice Book and Be Your Own Boss Kit and save on shipping!! |
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Rave Reviews
| “It saved me hours of time… I did not have to reinvent the wheel.” |
Beverly Clayshulte, MS, LN
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| “The forms saved me valuable time and money. It makes my life easier.” |
Cindy Cassel, RD |
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“You cannot be in private practice without these.” |
Registered Dietitian |
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Be Your Own Boss Kit Details:
Step-by-step kit with everything you need TO GET STARTED!! Over 17 forms designed for you to easily personalize with your logo if desired.
The office start up and management forms are needed to help in running your office smoothly. Includes insurance coverage form, HIPAA form, superbill form, patient registration form, daily accounting summary and more.
The most requested form is the superbill. It has been customized to reflect the most common diagnoses used by dietitians (coded with the most current ICD-9 codes). Options for services include current MNT codes.
The dietitian tools include three different methods for a diet intake form, a food history and assessment form, progress note form and much more. See below for complete list.
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21 Ready to Go Forms:
Download PDF with description for all forms included.
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Superbill |
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Steps for Setting up an Office Checklist |
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Insurance Coverage for Nutrition Services |
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Patient Registration Form |
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New Patient Information Sheet |
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Fax Cover Sheet |
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Sample Introduction Letter to Referral Sources |
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Sample Referral Report |
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Authorization for Release of Information |
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HIPAA Acknowledgement Form |
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Daily Accounting Summary |
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Telephone Intake Sheet |
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Food Journal |
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Diet Intake Forms |
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Food History Questionnaire and Assessment Forms – adult and pediatric version |
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Dietitian Summary Form |
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Progress Note Form |
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Instructions for Completing a Food Journal |
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Nutrition Progress Note |
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Medical Nutrition Therapy Form |
Learn from the experts! Comes with 21 ready to go forms used in successful private practices.
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