Daily Hygiene Pre-Appointment Verification Please Submit Completed Form to chrisad at the END of EVERY DayPractice Name Date MM slash DD slash YYYY Total Number of Patients in the Practice TODAY!(This includes ALL patients having any/all types of procedures) Total Number of Patients Pre-Appointed TODAY in HYGIENE Number of Patients Pre-Appointed TODAY Into Prime Time HYGIENE(PRIME TIME is VERY STRICTLY defined as WEEKDAY appointments that allow patients to leave after care before 8:30am...or allows them to arrive at 5:30pm or later. Also, any & all WEEKEND appointments are considered PRIME TIME.) CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
