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BYOB Private Practice Office Forms
Registered Dietitian Nutritionist Private Practice office forms, Medical Nutrition Therapy Superbill, ICD, CPT, & G Code

Be Your Own Boss Starter Kit

Original price was: $149.Current price is: $100.

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Get up and going with your private practice with these done for you office forms. You simply add your logo and contact information and viola! They are ready to use for your business! Read a letter from the creator of these Be Your Own Boss Starter Kit office forms, Faye Berger Mitchell, and see what inspired her to share them with you!

This starter kit consists of the following forms:

  1. Authorization for Release Form
  2. Telephone Intake
  3. Daily Review and Goals with Next Appointment Reminder
  4. Superbill
  5. ICD, CPT & G – Code Cheat Sheet
  6. Checklist for Setting Up an Office
  7. Sample Referral Report
  8. Sample Introductory Letter
  9. Patient Registration Form
  10. Patient Summary Sheet
  11. Payment Policies and Insurance Re-imbursement
  12. Office Policy Information
  13. Nutrition Progress Notes
  14. New Patient Assessment Form
  15. Medical Nutrition Therapy Request Form
  16. Instructions for Completing a Food Diary
  17. Sample Food Journal (1 page to be replicated as needed)
  18. Fax Cover Sheet
  19. Initial Assessment Form (Pediatrics)
  20. Initial Assessment Form (Adults)
  21. Daily Accounting Summary

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Faye Berger Mitchell, the original private practice guru, created these forms. A true pioneer, Faye opened her own private practice in the Washington, DC metro area. This was a bit risky in 1988, but she built a thriving practice!

Yvette Perrier Quantz, RDN, LDN, has updated and ensured the Superbill form is up to date and has added ICD, CPT, & G-Code Cheat Sheet to help private practice dietitians grow and evolve in their work.

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