FORMS

  • Daily Deposits

    This form is where you put your daily numbers and deposits.

    Go to Form

  • Insurance Daily Reporting

    This form is used to report daily on insurance information

    Go to Form

  • IT Help Desk

    This form is designed to submit a ticket for technical assistance. You can submit requests for maintenance and repair through this form.

    Go to Form

  • Patient Refund Request

    This form is designed to use when requesting a patient refund.

    Go to Form

  • Purchase Request

    This form is designed to capture any requests for purchases in the practices.

    Go to Form

  • Reimbursement Request

    Please use this form to request a reimbursement from our finance team.

    Go to Form

  • Patient Story Submission

    This form is used to partner with our marketing team in elevating patient stories.

    Go to Form

  • Continuing Education Proposal

    This form is to capture a CE request from a doctor or a team member. This is only for requests outside of those offered and set up by our team.

    Go to Form

  • Mileage Reimbursement

    Please use this to process mileage reimbursement.

    Go to Form

LINKS

REFERENCE MATERIALS

  • TEAM MEMBER HANDBOOKS

    This is where you can access all of our team member handbooks

    Open Document

  • Team member pricing guide

    This document outlines the pricing for our team members and

    Open Document

  • Fill In Directory

    This link takes you to the directory of all available individuals in our network who can work fill-in.

    Open Document

  • Open Dental Manual

    Go to Site

  • Insurance Enrollment Form

    Download Form Here

    Open Document

 

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