Practice Analysis

Fill out the form below for your free Practice Analysis, and get one step closer to increasing profits, improving efficiencies, building a better team and reaching the heart of your practice.

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Your Practice Information

Name:*

Email:*

Have you ever used a Practice Management firm?*

Yes No

Number of Years in Practice*

Address*

Phone*

Best Day to Call

Best Time to Call

01 02 03 04 05 06 07 08 09 10 11 12 : 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 AM PM

Solo or Group Practice

Solo Group

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Self-Evaluation

Please answer all of the following questions:

We often fall behind schedule, creating stress for everyone.

Mostly True Mostly Untrue

Our number of missed appointments or cancellations are too high.

Mostly True Mostly Untrue

We do not receive as many referrals from our patients as we would like to.

Mostly True Mostly Untrue

I am spending more time in the practice than I want (or need) to.

Mostly True Mostly Untrue

I have had poor or limited success in hiring, retaining and/or training capable staff.

Mostly True Mostly Untrue

The rewards of running my practice do not outweigh the difficulties.

Mostly True Mostly Untrue

My quality of life is not what I want it to be.

Mostly True Mostly Untrue

Our accounts receivables are too high.

Mostly True Mostly Untrue

I have reached a ceiling or downtrend in my recent profitability and/or growth.

Mostly True Mostly Untrue

I don't have someone in charge of ensuring a consistent flow of new patients.

Mostly True Mostly Untrue

The stress level in my practice is higher than I would like it to be.

Mostly True Mostly Untrue

We are having difficulty getting patients to complete their treatment plans.

Mostly True Mostly Untrue

I often find myself solving problems that my staff should be able to solve on their own.

Mostly True Mostly Untrue

We don't get an effective return from our new patient marketing programs.

Mostly True Mostly Untrue

I do not have methods/systems to hire, train and keep good staff.

Mostly True Mostly Untrue

We are not as effective at insurance collections as we should be.

Mostly True Mostly Untrue

We are having difficulty collecting the cash portion of our treatment plans from patients.

Mostly True Mostly Untrue

I am not paying competitive wages or bonuses to my staff.

Mostly True Mostly Untrue

I am concerned that I will not meet my personal financial goals when I retire.

Mostly True Mostly Untrue

I do not have an organized program for educating my patients about the benefits of continuing dental care.

Mostly True Mostly Untrue

There are ongoing staff problems, upsets or animosities.

Mostly True Mostly Untrue

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