FPM Toolbox

Office Policy Samples

Dismissal Letter for Patients With Delinquent Accounts

A sample letter to notify patients of their dismissal from the practice due to the outstanding balance on their account
Download Format : Word
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Flow Chart for Managing Difficult Physician-Patient Relationships

A flow chart to help physicians deal with challenging patients and advise them when it is necessary to terminate the relationship
Download Format : PDF
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Notice Regarding Same-Day Wellness Care and Illness Care

A sample notice to explain your office’s policy of scheduling problem-oriented visits and preventive visits on separate dates
Download Format : Word
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Payment Policy

An example of a payment policy that lets patients know what the practice expects of them financially and that gives the practice some legal protection if necessary
Download Format : Word
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Scheduling Resource for Medicare Wellness Visits

A resource to help schedulers communicate with Medicare patients regarding wellness visits
Download Format : PDF
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Sexual Harassment

Sample sexual harassment policies for family practices
Tool as published
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Warning Letter for Patients With Delinquent Accounts

A sample letter to warn patients that their account will be sent to a collection agency
Download Format : Word
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