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ALL INFORMATION TREATED IN THE STRICTEST OF CONFIDENCE
Vendor Name
Practice Address
Contact Email
Contact Mobile
Contact Other
Best time to contact
Legal Entity
Ltd Company
Partnership
Sole Trader
Number of contracted UDAs
Contracted Value of UDAs
Contract Type
GDS
PDS
PDS Plus
PDS Contract Expiry Date
01
02
03
04
05
06
07
08
09
10
11
12
/
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
Number of Surgeries
Capacity for additional surgeries?
Yes
No
Please explain the above
Practice property type
Leasehold
Freehold
Freehold Approx. Value
Leashold Rent Per Annum
Private Dental Plan Annual Revenue
Private Annual Revenue (excl. Plan)
Hygienist Annual Revenue
Annual Cost of Lab Fees
Annual Cost of Dental Material
Computer Systems
SOE
R4
Other
Manual
How many patients are in your database?
Have you completed HTM01-05?
Yes
No
Planning to
Is the practice DDA compliant?
Yes
No
Planning to
Is the Vendor willing to stay on for 12 months?
Yes
No
What would you value the business at?
What is the overall condition of the Surgeries?
Excellent
Good
Average
Poor
What is the overall condition of the Practice?
Excellent
Good
Average
Poor
Total hours per week performed by all Dentists at the practice
Average UDA pay rate
Private Fees %
Total hours per week performed by all Nurses at the practice
Average hourly pay rate for Nurses (excl Employer NI)
Total hours per week performed by all Receptionists at the practice
Average hourly pay rate for Receptionists (excl Employer NI)
Total hours per week performed by Practice Manager
Average hourly pay rate for Manager (excl Employer NI)
Current PCT contract year UDA performance (refer to latest BSA statement)
Last PCT contract year UDA performance (refer to year end BSA statement)
Where did you hear about us?
Please Choose One
ADP leaflet
BDJ or other Dental journals
Word of mouth
Google or Bing
Facebook, Twitter and other social network sites
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