PRACTICE KEY METRICS

Please complete this short form so we can gather key metrics for your practice as part of the Probe phase of your 7FH Oral Systemic Protocol journey.

Your responses will help us tailor your experience and provide the right support, insights, and next steps based on where your practice is today.

Title *

First Name *

Last Name *

Email *

1. Number of Active Patients in the immediate past 18 months? *

An active patient is someone who has been to your practice at least once in the past 18 months-if they have come more than once please only count them once.

2. How many operatories are available to use your practice? *

Provide the total number of dental operatories that are fully equipped and available for use in your practice.

2.1 Remarks

3. Forward bookings – are patients booked in advance for recalls? *

If yes, how far ahead?

4. Number of new patients to practice in the past year *

Count of patients who attended your practice for the first time in the past 12 months (do not include returning or previously active patients).

5. Is your practice a preferred provider practice for any Health fund at all *

If yes, list the names of the health funds.

6. 2 years of Production figures

Provide the total production figures for the current financial year and the past financial year (e.g., 2024/2025). All figures must be provided in dollars ($) and in numeric format

Past Year Production *

Current Year Production *

Practice Item Codes Request

1. Last one year of Item Codes by Group performed in practice with fees invoiced *

Group item code report preferably Excel/csv format please

2. Last one year of Item Codes for each individual clinician at your Practice – (include OHT Hygienist if applicable with fees invoiced ) *

Individuals Item code report Excel/ csv format please

3. Operator names and hours per week / weeks per year

Please list every clinicians Initials, dentists / OHT / Hyg and hours per week - to calculate hourly rate for each clinician in the template provided

Click Here To Access Your Practice Operators Data Template we added into your shared folder.

Probe Report

Registered Company Name *

Name of Practice *

ABN *

Street Address *

City *

State *

Country

Postal code *