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Episode 129: Seamless Forms for Your Private PracticeĀ Success

Simplify your documents while protecting your liabilities

I requested an audit from my malpractice carrier, The Doctors Company, to review my forms and am sharing that with you to get you started.

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As always, consult with your healthcare legal counsel or malpractice carrier specific to your state and specialty. These are living documents that are subject to change with the changing healthcare landscape.

1. Checklist for your staff to ensure all forms are completed

New Patient Checklist Form

2. Health Questionnaire

Health Questionnaire Form

3. Practice Policy which included sections on:Ā 

  • Credit Card on File
  • Your Financial Responsibility
  • Consent to Treat
  • Consent to Photo
  • Acknowledgment of HIPAA Form
  • Notice of HIPAA Document
Practice Policy Form

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Notice of HIPAA Form

4. Medicare Private Contract

Medicare Private Contract Form

5. Telehealth ConsentĀ 

Telehealth Consent Form

6. Consent Form for Minor Procedures

Minor Procedure Consent Form

7. **If you have a membership model, try this form

Membership for Podiatry Care