The Big Bonus System
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- Norah Harrington
- 5 years ago
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1 The Big Bonus System Office Visits New patients Payments Bonus Daily $25 Weekly $50 Monthly $100 Yearly $200
2 Nutritional Procedure/Protocol from Start to Finish: Vision Statement: To encourage the expression of the deep longings and aspiration that catalyze and open into the service of higher purpose New Patient 1 st Visit Established Patient 2nd Visit 3 rd through 8 th Visit 9 th Visit Maintenance Care
3 Primary Concern: Consistent: Month: Headaches: Basal/Temples/Cluster/Crown/TMJ/Frontal/Migraine(prodromal-halluc./photophobia/olfaction/nausea) Ears: Noise(Ring/Hiss/Pound)/Plug/Pop/Ache/Drain/Itch/Loss/Dizzy/Wax Tongue: Thick/Coated ph: Eyes: Burn/Tear/Ache/Red/Dry/Film/Itch/Blur/Floaters/Spots/Tired/Puffy/Stye/Twitch/Circles Sinus: Dry/Drain/Plug/Post(white/yellow/green/gray/brown/blood/clear)/Sneezing/Smell loss/taste loss/thirst Sore Throat/Hoarseness/Cough(dry/productive)/Allergies/URI/Fever/Chills/Halitosis/Cankers/Blisters/Flu Neck Stiffness/Shoulder Tension/Chielosis/Dry mouth/cold,sweaty hands,feet/gums/teeth/glands/dysphagia Chest:Tension/Tight/Pressure/Heavy/Anxiety/Congestion/Pain/Sternal Sharp Heart Pain/Palpitations/MVP/Tachy/Brady/Murmur/Arm pain Shortness of Breath: Constant/Exertion/Asthma/Wheeze/Air hunger/yawning Heartburn/Indigestion(aches/cramps/nausea/queasy)/Bloat/Gas/Belch/Ulcer/H.H. Bowels: Regular/Incomplete/Sluggish(every days)/cramps/laxative/suppositories/enemas/colonics/bulk Fecal Consistency: Soft/Ribbons/Mucous/Normal/Hard/Pebbles/Dry/Pain/Diarrhea/Constipation Hemorrhoids: History/Current (swollen/burn/blood/distend/itch/sting/ache/cramp) Prostate: History/Current (burn/ache/pain/restrict/dribble/emission/swell) Vagina (burn/itch/dry/pain/blood) Discharge (clear/white/yellow/green/brown/odor) Menses: Regular/Irregular (early/late)/skip BC pill LMP Flow (heavy/moderate/light/long/brief) Cramps-mild/med/severe/back Low Abdominal Puffiness/Fluid-face/hands/feet/body Breast Tenderness/Acne(pre/mid/post)/Spotting/Clots PMS -(Mood swing/irritable/depression)/breast/fluid/tired Ovulation: Pains/Cysts/Discharge/Regular/Irregular/Fibroids Breast Feeding/Fibrosis/Lump/Discharge/Prosthesis/Reduction/Tender Menopause: Natural/Surgical(partial/complete)/Hormones/Patch/Flashes/Fornication Cramps/Aches/Anxiety: Legs/Feet/Arms/Hands Rash/Acne/Dry/Itch/Fungus/Patch/Fluid/Cellulite/Nails-Spots/Hair Loss-Limp Urination: Nocturnal /night /week Frequency/Urgent/Burn/Pain/Odor/Spasm/Leak/UTI Sleep: Difficulty Falling Asleep/Insomnia/Interrupted( /night)/sleep craving/jolts Dreams/Nightmares/Night sweats/restlessness/ hrs per nt. Sad/Grief/Depression/Moodiness/Irritable/Worrisome/Angry/Nervous/Frustrated/Anxiety/Panic/Cry/Fear/Shame Appetite: Low/High/Sweet/Coffee/Tea/Chocolate/Beer/Wine/CHO/spices./Ice Cream/Soda Stress Energy: Low/Variable/Up/Slow to start (improving/worse) am/pm/meals low/exercise Memory(name/number/word) Coordination/Concentration Sexuality(flat/low/normal)/Impotent Slow Healing/Bruising/Arthralgia: Weight: (+/- lbs) Overall (+/- ) Height: BF% ( ) Pulse BP: / Chol. HDL Tri. Medications: Surgery/Allergy:
4 PATIENT NAME DATE RE-EVALUATION DATE NUTRITION SCHEDULE CONTACT REFLEX ANALYSIS METABOLIC PRODUCT When Arising Breakfast Midmorn Lunch 3 pm Dinner Before Sleep No. of Bottles IMMUNE/ALLERGY HORMONAL MASTER STRONG/INCOMPLETE SPECIAL INSTRUCTIONS Ragland s: ( / ) / lying ( / ) / standing Ca cuff test: / Allergy:
5 Nutrition Statistics: Annual 2004 Total charges 1,496,018 (1, ) Total collection 1,494,297 (1,284164) % Collected 100 (99) Total visits 7,730 (7,054) Total New Patients 411 (358) Average charge (deducted) 193 (184) (charges/visits) Case Average (deducted) 3,640 (3,639) (charges/new patients) Total nutritional exam fees 120,400 Total supplement sales 1,373,897 (charges exam fees) Total wholesale costs 947,989 Total sales profit 425,708 (sales costs) % Profit of sales 32 (sales x 100/profit)
6 Nutritional Procedure/Protocol from Start to Finish: Whole Health Associates Vision Statement: To encourage the expression of the deep longings and aspiration that catalyze and open into the service of higher purpose New Patient 1 st Visit welcome to the office and time check with practitioner s schedule - completion of clinic intake forms and disclaimer - completion of symptom survey form - office visit includes introduction to nutritional approach and my approach - interview of purpose of visit and objectives for visit, case history, nutritional examination - contact reflex analysis - report of findings and recommendations, including long-term goals/ plan (management) - explanation of rescheduling, costs and payment options, and return policy - supporting literature Established Patient 2nd Visit review of symptoms and interview, note changes and explain what caused the change - Introduce and explore role of diet and lifestyle - repeat positive findings from 1st visit - contact reflex analysis - report of findings and recommendations, review again long-term goals/ plan - supporting literature 3 rd through 8 th Visit review of symptoms and interview - review diet and lifestyle - repeat positive findings from 1 st visit - contact reflex analysis - report of findings and recommendations - supporting literature 9 th Visit review of symptoms and determine shift towards maintenance - introduce ideas of maintenance and encourage final analysis with blood, urine, hair - introduce and complete Acoustic Cardiography - final fine tooth comb to determine subtle patterns of need Maintenance Care - described by interval between visits over 8 weeks - ongoing Latest and greatest updates - ongoing chronic degenerative projects, such as osteoporosis or CAD - introduce resource for future health challenges personally or with family friends - discuss longevity and vitality concepts - create lifetime goals - introduce other therapies and approaches to continue the evolution of self - send letter acknowledging the completion of corrective care
7 Nutritional Evaluation Service Nutrition deficiency and chronic degenerative changes have become common in this modern world. Due to increased stress, a diet that no longer resembles what our genetic coding was designed to utilize, and toxic exposure that exceeds normal abilities nutritional therapy has developed as a way to support the human in today s landscape. We are pleased offer comprehensive nutritional evaluation and corrective recommendations, including supplements and gradual diet modification, to assist in adapting to this world. We find immediate increase in vitality and joy as the primary motive for undertaking this therapy. It is also noted that almost all of our physical conditions respond and may even resolve with specific nutritional support. We encourage people to include nutritional evaluation as part of their whole person care by setting an appointment for a nutritional evaluation with the doctor. The cost of the evaluation is $35, not including nutrient supplements. It is good to feel well!
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Rachel Beth Dorfman, L.Ac., C.M.T. Classical Acupuncture, Chinese Medicine and Asian Bodywork Patient Information Name: Today's date: Address: Age: Date of birth: City: State: Zip: Email: Best phone to
Integrative Consult Patient Background Form
Let Us Know More - So We Can Help Thank you for choosing to schedule an integrative medicine consultation with UC Health. To help us meet your needs during your visit, please take some time to sit in a
Patient Health History Questionnaire
Patient Health History Questionnaire Manitou Springs Acupuncture Randall Johnson, L.Ac., LLC Certified Seitai Shinpo Acupuncturist License Number: Acu-0002072 Phone: (719) 237-4547 Email: 719acupuncture@gmail.com
Bring books or toys to help keep your child occupied. I have videotapes in the office that your child may watch.
USF Eye Institute and Ear, Nose and Throat Center Pediatric Eye Clinic Welcome to the Pediatric Eye Clinic at the University of South Florida! I am glad that your child is coming to visit me at the University
Fertility HEALTH HISTORY
Fertility HEALTH HISTORY Female Name: First Middle Initial Last Preferred name Male Name: First Middle Initial Last Preferred name Address: City: State: Zip code: Contact numbers: home work/cell: Please
Welcome to our office!
Vitality Chiropractic & Wellness Center 3348 Tyrone Blvd. St. Petersburg, FL 33710 WWW.DrWyckoff.com Phone (727) 381-7433 Fax (727) 381-7434 Welcome to our office! Please fill out our Health Record as
Mentor goals: Mentoring the mentor: Mentoring the Mentors Dr. Stuart White
Mentoring the Mentor Stuart White, DC, DACBN, CCN Whole Health Associates 1406 Vermont Houston, Texas 77006 713/522-6336 stuartwhite@wholehealthassoc.com www.wholehealthassoc.com 1 www.doctorofthefuture.org
MEDICAL HISTORY RECORD
MEDICAL HISTORY RECORD Please print and complete all information. Case. Male Female Medicare. Medicaid. Today s Date Birthdate Last Name First Middle Daytime Phone Home Phone Address City Marital Status
John Wayne Cancer Institute Dr. Foshag Dr. Faries Dr. Bilchik Dr. Leuchter
John Wayne Cancer Institute Dr. Foshag Essner Dr. Fischer Dr. Faries Dr. Foshag Dr. Bilchik Dr. O'Day Dr. Leuchter Medical Questionnaire Reset Form Date: Name: Gender: Male Female Age: Last First Middle
Initial History Form
William C. Gorospe, M.D., Ph.D. Sebastian R. Stanciu, M.D. Christina L. Bailey, M.D. Initial History Form Welcome to First Coast Infectious Disease Consultants, LLC. In order for us to get to know you