Office | .......................................... |
Month, Year | .......................................... |
Doctor | .......................................... |
Production | |
  Professional Services | .......................................... |
  Eyewear Sales | .......................................... |
  Contacts | .......................................... |
Total Receipts | .......................................... |
Patients | |
  New | .......................................... |
  Established | .......................................... |
Fee generating Visits | .......................................... |
Fee generating appt slots available | .......................................... |
Doctors hours | .......................................... |
Practice hours | .......................................... |
Staff hours | .......................................... |
Cost of Goods Sold | |
  Frames | .......................................... |
  Labs Work | .......................................... |
  Contacts | .......................................... |
  Other | .......................................... |
Operating Expenses | |
  Occupancy | .......................................... |
  Payroll | .......................................... |
  Advertising | .......................................... |
  Other | .......................................... |
Accounts Receivable balance | .......................................... |
Web Hits | .......................................... |
Shopper converstion rate | |
  Calls | .......................................... |
  Appointments | .......................................... |
Recall: | |
  Patients Contacted | .......................................... |
  Patients Reached | .......................................... |
  Appointments Made | .......................................... |
Referrals | .......................................... |
# Patients buying multiple pairs | .......................................... |
Contact Lens Fit/Refit | .......................................... |
Date | # of fee slots |
new pt visits |
estab pt visits |
new pt contact visits |
estab pt contact visits |
total pt visits |
fee no shows |
no fee prog checks |
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