Be Your Own Boss Starter Kit

Get up and going with your private practice with these ready to download and use office forms! Simply add your logo and contact information and they are ready to use. Created by 

This starter kit consists of the following forms:

• Authorization for Release Form
• Telephone Intake
• Daily Review and Goals with Next Appointment Reminder
• Superbill
• Checklist for Setting Up an Office
• Sample Referral Report
• Sample Introductory Letter
• Patient Registration Form
• Patient Summary Sheet
• Payment Policies and Insurance Reimbursement
• Office Policy Information
• Nutrition Progress Notes
• New Patient Assessment Form
• Medical Nutrition Therapy Request Form
• Instructions for Completing a Food Diary
• Sample Food Journal (1 page to be replicated as needed)
• Fax Cover Sheet
• Initial Assessment Form (Pediatrics)
• Initial Assessment Form (Adults)
• Daily Accounting Summary