FPM Toolbox

Office Policy Samples

Download sample office policies related to patient payment, patient dismissal, and more.

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
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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
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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
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Sample Letter to Problematic Patients

A follow-up letter that practices can send to patients exhibiting poor behavior with physicians or staff documenting the conversation they had and reinforcing any consequences if the behavior does not improve
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Scheduling Resource for Medicare Wellness Visits

A resource to help schedulers communicate with Medicare patients regarding wellness visits
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Sexual Harassment

Sample sexual harassment policies for family practices
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Termination Letter

A sample letter to inform a patient that the physician will no longer be his or her primary care physician
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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
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