Forms

  • Medical Insurance Fee Schedule Guide - Sleep Apnea
  • Medical Insurance Fee Schedule Guide - TMD
  • Medical Insurance Fee Schedule Guide - Oral Surgery
  • Pristine Standard Workflow 
  • Pristine CBCT Workflow 
  • Pristine DS3 Software Workflow
  • Pristine DS3 Software & CBCT Workflow
  • SOAP Note - Sleep Apnea
  • SOAP Note - TMD
  • SOAP Note - Trauma Related Oral Surgery
  • SOAP Note - Implants & Bone Grafting 
  • SOAP Note - Frenectomy
  • SOAP Note - Third Molar Extraction
  • Oral Surgery Medical Diagnosis Codes
  • Health History Sleep Questionnaire 
  • Statement of Sleep Apnea Therapy
  • Sample Chart Note - Sleep Apnea Consultation 
  • Proof of Delivery - Sleep Apnea Oral Appliance
  • Berlin Sleep Questionnaire
  • Stop Bang Sleep Questionnaire
  • Epworth Sleep Questionnaire
  • PCP Referral Request - Sleep Apnea/TMD
  • Gap Request Script for the Patient 
  • Commonly Used Acronyms in Medical Billing for OSA
  • Medical Records Release Form 
  • Super Bill - Sleep Apnea
  • Super Bill - TMD
  • Super Bill - Oral Surgery
  • Pristine Patient Intake Form 
  • Pristine Provider Intake Form
  • W-9 Form