We will help you analyze your treatment presentation and acceptance procedures and identify any interference that may prevent patients from accepting treatment. A veteran dental consultant will help you pin point these areas-a relief in itself.

Instructions: Practice owner(s) to rate each of the following. NOTE: Answers should reflect the current situation, not how it used to be or how you envision the future. At the bottom of this form, you will find a section to input your contact data. Please enter all data so that your Consultant can conduct your free consultation as soon as possible.

POINT SCALE:

0 points = You never or almost never have a problem with this.

1 points = Occasionally have a problem with this but it is not severe.

2 points = Occasionally have a problem with this which is severe.

3 points = Frequently have a problem with this but it is not severe.

4 points = Frequently have a problem with this which is severe.

* Dr. Name:
* Address:
* City/State/Zip:  
* Work Phone: ex: 800-818-1515
Fax Number:
Cell Phone:
Home Phone:
* E-Mail:

1.

The doctor is often rushed when it comes to presentation.


2.

Communication skills need improvement (Doctor and/or Tx Coordinator.)


3.

Cases "fall through the cracks" at reception.


4.

Patients agree with Tx but then don't commit.


5.

Lack of a designated and well-trained "Treatment Coordinator" who helps patients accept treatment, including handling financial concerns.



  

Your information will be held in strict confidence. Your information will not be used for any purpose except to give you a free management consultation.

Pacific Management Consultants - Dental Practice Management