Dental Patient Onboarding Checklist Template

Ensure a smooth and welcoming experience for every new patient! Our Dental Patient Onboarding Checklist Template streamlines your welcome process, from paperwork completion and insurance verification to treatment planning and post-appointment follow-up. Boost patient satisfaction and efficiency - download yours today!

This Template was installed 2 times.

Pre-Appointment Communication

1 of 10

Tasks to complete before the patient arrives, including confirmation calls and sending pre-appointment instructions.

Appointment Date

Appointment Time

Appointment Type

Confirmation Message Sent (Details)

Confirmation Method

Pre-Appointment Instructions Document

Patient Arrival & Check-In

2 of 10

Procedures for welcoming patients and gathering initial information upon arrival.

Patient Arrival Time

Patient Name (Confirm)

Date of Birth (Confirm)

Insurance Provider (Confirm)

Patient Temperature (Optional)

Reason for Visit (Confirm)

Patient Signature (Confirm Arrival)

Medical & Dental History Review

3 of 10

Ensuring a thorough review of the patient's medical and dental history.

Chief Complaint (in patient's own words)

Past Medical History

Past Dental History

Current Medications

Blood Pressure (Systolic)

Blood Pressure (Diastolic)

Allergies (if any)

Family Dental History

Consent Forms & Disclosures

4 of 10

Confirmation of consent forms and necessary disclosures have been reviewed and signed.

HIPAA Notice Acknowledgment

Financial Policy Acknowledgment

COVID-19 Screening Acknowledgment

Any Questions or Concerns?

Patient Signature

Date of Consent

Financial Discussion & Insurance Verification

5 of 10

Reviewing treatment plans, discussing financial responsibilities, and verifying insurance coverage.

Estimated Treatment Cost

Patient's Estimated Copay

Insurance Responsibility (Estimated)

Payment Options Discussed

Financial Forms Reviewed?

Insurance Verification Date

Insurance Verification Notes

Insurance Pre-Determination Completed?

Exam Room Preparation & Patient Comfort

6 of 10

Ensuring the exam room is clean, organized, and comfortable for the patient.

Room Temperature (Fahrenheit)

Surface Disinfection Complete?

Equipment Functionality Check

Privacy Screen Position

Proof of Disinfection (Image/Record)

Ambient Music Selected?

Patient Materials Available?

Initial Examination & Assessment

7 of 10

Steps involved in the initial dental examination and patient assessment.

Appointment Start Time (Actual)

Chief Complaint

Detailed Description of Chief Complaint

Overall Oral Health Assessment

Blood Pressure (Systolic)

Blood Pressure (Diastolic)

Gingival Index Score

Notable Findings (e.g., lesions, swelling)

Treatment Planning & Recommendations

8 of 10

Discussion of treatment options and development of a personalized treatment plan.

Detailed Treatment Plan Description

Estimated Treatment Cost

Recommended Treatment Phases

Proposed Start Date

Number of Appointments Estimated

Patient Understanding of Treatment Plan

Patient Questions/Concerns

Post-Appointment Instructions & Follow-Up

9 of 10

Providing clear instructions for post-treatment care and scheduling follow-up appointments.

Post-Treatment Care Instructions (Written)

Medication Instructions (if applicable)

Follow-Up Appointment Date

Follow-Up Appointment Time

Recall Appointment Type

Patient Concerns/Questions (Documented)

Days until follow-up

Record Updates & Documentation

10 of 10

Ensuring all patient information is accurately documented and updated in the practice management system.

Patient's Medical History Updates

Notes from Patient Consultation

Assigned Treatment Plan Number

Date of Treatment Plan Creation

Treatment Codes Added to Record

Scanned Radiographs (if applicable)

Referring Doctor Name (if applicable)

We can do it Together

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