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The Private Practice Setup Checklist

Every decision it takes to set up a private practice, in the order it makes sense to make them. Check them off as you go.

Setting up a private practice takes about 50 decisions across 17 areas, from your practice name and patient portal address to payments, scheduling, intake paperwork, privacy and going live. Each one below is marked required, recommended or optional, and says why it matters and what practices usually choose.

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How does your practice get paid?

The checklist changes with your answer: insurance steps disappear for concierge practices, and some steps become required for insurance billing.

0 of 50 decided · 0 of 14 required

1. Practice basics and branding

Who you are, as patients will see it.

  • Required

    Patients see your name on every page, email and receipt, and your website links them back to you.

    Common choices

    • The name patients know you by
    • Your main website address
  • Recommended

    Your logo and color make the portal look like your practice, so patients trust the pages and emails they get.

    Common choices

    • Upload your logo
    • Pick your main brand color
    • Use the neutral look for now
  • Recommended

    It prints on superbills and annual receipts, which patients need to claim money back or deduct the cost.

    Common choices

    • Your practice's EIN
    • Leave it blank until you have one
  • Required

    Appointments, reminders and your schedule all run on your local clock.

    Common choices

    • Eastern
    • Central
    • Mountain
    • Pacific
    • Alaska or Hawaii

2. Patient address and domain

The web address your patients use.

  • Required

    This is the web address patients use to join, sign forms, pay and message you.

    Common choices

    • A short version of your practice name
    • Your initials or town
  • Optional

    Patients see your own web address instead of ours, which feels more familiar to them.

    Common choices

    • Keep the portal address
    • A subdomain such as patients.yourpractice.com

3. How you get paid

Direct-pay, insurance, or both.

  • Required

    It decides who each visit is billed to by default and hides the parts of the system you will not use.

    Common choices

    • Concierge / direct-pay: patients pay you
    • Hybrid: you choose per visit
    • Insurance-based: you bill insurers for most visits
  • Optional

    A superbill is an itemized receipt patients send to their own insurer to get some of their money back.

    Common choices

    • Give them on request
    • Let patients download their own
    • Do not offer them
  • Optional

    Common diagnosis and procedure codes are built in; add your own, such as a membership fee, so superbills and claims read correctly.

    Common choices

    • Use the built-in codes
    • Add codes for your own services

4. Insurance

What you need before you can bill an insurer.

  • RequiredHybrid and insurance only

    Insurers pay the name, NPI and address on your claims, and reject claims where these are missing or wrong.

    Common choices

    • Your group NPI
    • Your own NPI if you practice alone
  • RequiredHybrid and insurance only

    Every claim names an insurer, and electronic claims need the payer ID your clearinghouse uses.

    Common choices

    • Medicare
    • Medicaid
    • Commercial insurers
    • Any others you see often

5. Specialty starting points

The measures and forms practices like yours usually use.

  • Recommended

    One click adds the vital signs and forms practices like yours usually use, so you are not starting from a blank page.

    Common choices

    • Primary care
    • Cardiology
    • Functional / integrative
    • Women's health
    • Pediatrics
    • Weight management
    • Behavioral health
  • Optional

    Staff are asked only for the measures you choose, and each one is coded so it reads correctly anywhere it is sent.

    Common choices

    • Keep the common ones
    • Add measures for your specialty
    • Rename one to match what your staff call it

6. Features to use

Turn off what you will not use.

  • Recommended

    Fewer menus means less for your staff to learn, and nothing is deleted if you switch something back on later.

    Common choices

    • Keep everything on
    • Turn off charting, claims or other areas you do not need
  • Optional

    Patients can book visits, read their chart, message you, buy extras and download superbills, and you choose which.

    Common choices

    • Book visits
    • See their chart
    • Message you
    • Buy extras
    • Download superbills

7. Clinicians

Who sees patients.

  • Required

    Every appointment, note and claim names the clinician who saw the patient.

    Common choices

    • Physicians
    • Nurse practitioners and physician assistants
    • Other licensed clinicians
  • RecommendedRequired for hybrid and insurance

    Insurers will not pay a claim without the treating clinician's NPI, and superbills print it too.

    Common choices

    • Look it up in the national NPI registry
    • Include each clinician's taxonomy code
  • Optional

    Keeping each clinician's license numbers and expiry dates on file puts them in one place when a renewal or an audit comes up.

    Common choices

    • Each state license
    • Its expiry date

8. Team and roles

Who signs in, and what each person can do.

  • Recommended

    Each person gets their own login, so you can see who did what and remove access when someone leaves.

    Common choices

    • Front desk
    • Billing
    • Clinicians
    • Nurses and medical assistants
    • An accountant or auditor

9. Plans and prices

What patients sign up for.

  • RequiredOptional for insurance

    Plans are what patients sign up for and what you are paid each month or year.

    Common choices

    • One plan for everyone
    • Two or three tiers
    • Monthly, quarterly or annual billing

10. Add-ons, visit packs and offerings

Everything you sell outside a plan.

  • Optional

    Extras such as an enrollment fee or a lab bundle can be offered with a plan, or required with it.

    Common choices

    • A one-time enrollment fee
    • A monthly lab or supplement bundle
    • None
  • Optional

    Patients prepay for a block of visits and use them over time, which suits care that is not a monthly membership.

    Common choices

    • 5 or 10 visits
    • With or without an expiry date
    • None
  • Optional

    Single visits, IV therapy, supplements or lab tests you sell outside a membership, each at a set price.

    Common choices

    • Single visits
    • Lab tests
    • Supplements
    • IV therapy
    • None

11. Scheduling

Visit types, hours, rooms and video visits.

  • Required

    Each type sets how long a visit lasts and whether it is in person, by video or by phone.

    Common choices

    • New patient visit
    • Follow-up
    • Annual physical
    • Video visit
  • Recommended

    Hours decide which times are offered when staff look for a slot or patients book online.

    Common choices

    • The same hours every week
    • Different hours for each clinician
  • Optional

    If you have more than one exam room, each clinician's hours can name the room they work in.

    Common choices

    • One room per clinician
    • Shared rooms
    • Not needed
  • Optional

    Patients book themselves into the times you have opened, which cuts down on phone calls.

    Common choices

    • Open some visit types to online booking
    • Staff book every visit
  • Optional

    Each video appointment gets its own private room, and patients join from their portal with no app to install.

    Common choices

    • Offer video visits
    • In person only

12. Patient paperwork

How new patients join, and what they fill in and sign.

  • RequiredOptional for insurance

    This is the page new patients use to pick a plan and join online.

    Common choices

    • A headline and short description
    • What is included
    • Location and contact details
    • Which plans to show
  • RequiredOptional for insurance

    Until it is published, nobody can see it or sign up through it.

    Common choices

    • Publish now
    • Publish when you go live
  • Recommended

    Patients fill in their history and questionnaires in the portal before they arrive, and scores land on their chart.

    Common choices

    • New patient intake
    • PHQ-9 depression screen
    • GAD-7 anxiety screen
    • Before your visit
    • Write your own
  • Recommended

    Patients sign your agreement online when they join, and the signed copy is filed for you.

    Common choices

    • Membership agreement
    • Consent forms
    • Send automatically when someone joins a plan
  • Optional

    Add fields for things the standard record does not hold, such as how a patient heard about you.

    Common choices

    • Text
    • Dropdown
    • Yes / no
    • Date
    • None

13. Payments

How money reaches you.

  • Required

    Patients cannot pay you online until your own merchant account is connected, and the money goes straight to you.

    Common choices

    • Doctor Rebrand Pay
    • Stripe
  • Recommended

    Memberships renew and charge the card on file by themselves, so nobody has to remember to bill them.

    Common choices

    • Turn it on once your account is verified
    • Keep charging by hand
  • Optional

    When a card is declined, the system tries again on the days you choose before asking the patient for a new card.

    Common choices

    • After 1, 3 and 5 days
    • A longer or shorter schedule
    • Do not retry
  • Optional

    Sets how your invoice numbers look and how many days patients have to pay.

    Common choices

    • INV-1000, INV-1001 and so on
    • Your own prefix
    • 14 days to pay, or your own terms
  • Optional

    Most medical services are not taxed, but some products you sell may be.

    Common choices

    • No sales tax
    • Automatic sales tax (not available yet)

14. Communications

The emails and reminders patients get.

  • Optional

    Every email patients get, from the welcome to the receipt, can say things in your own voice.

    Common choices

    • Keep the standard wording
    • Rewrite the ones patients see most
  • Recommended

    A reminder email before each visit cuts down on no-shows.

    Common choices

    • A day before and two hours before
    • A different schedule
    • No reminders
  • Optional

    Patients hear before their membership renews, which heads off surprise charges and disputes.

    Common choices

    • 30 and 7 days before
    • Other windows
    • No reminders

15. Privacy and security

Keeping patient records safe.

  • Recommended

    A stolen password alone cannot open patient records when every sign-in also needs a code from a phone.

    Common choices

    • Require it for all staff
    • Leave it to each person
  • Recommended

    Giving each person only the access their job needs keeps clinical notes away from people who do not need them.

    Common choices

    • Owner: everything
    • Clinician: charts and patients
    • Front desk: booking and payments, no charts
    • Billing: invoices and claims, no charts
    • Read only: can look, cannot change anything

16. Integrations

Connecting your books and your own software.

  • Optional

    Invoices flow into your books on their own, so nobody types them in twice.

    Common choices

    • QuickBooks Online
    • No sync
  • Optional

    A key lets software you trust read your practice data, and you can revoke it at any time.

    Common choices

    • No outside software
    • A key for each tool, with only the access it needs
  • Optional

    Your other tools hear about a booking, a payment or a signed note the moment it happens.

    Common choices

    • Not needed
    • Send events to an automation tool
  • Optional

    Rules create a task or alert your team when something happens, such as an abnormal result or a failed payment.

    Common choices

    • New member onboarding
    • Result follow-up
    • Overdue and failed payments
    • Abnormal vitals
    • Cancellations and no-shows

17. Going live

Bringing patients over and opening the doors.

  • Required

    Your current patients need a record here before they can be booked, billed or invited to the portal.

    Common choices

    • Import a spreadsheet
    • Add them one at a time
    • Let them join through your enrollment page
  • RecommendedOptional for insurance

    Putting one current member on a plan is the best test that billing works the way you expect.

    Common choices

    • Subscribe a current patient
    • Wait for someone to join online
  • Required

    Until you go live, your patient address opens a practice sandbox where nothing reaches real patients and no card is charged.

    Common choices

    • Go live when setup is done
    • Keep testing in the sandbox

Email Me the PDF

A printable copy for every kind of practice. Or ask us to set it all up for you.

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Common Questions

What do I need to set up a private practice?

About 50 decisions in 17 areas, starting with practice basics and branding, patient address and domain and how you get paid, and ending with bringing your patients over and going live. This checklist lists each one in the order it makes sense to decide it, with why it matters and the usual answers.

Which decisions are required before a practice opens?

For every practice: Practice name and website; Time zone; Your patient portal address; Concierge, hybrid or insurance; Your clinicians; Visit types and lengths; Payment processor and merchant account; Bring your patients over; Go live. Practices that bill insurance also need: Billing provider details; The insurers you bill; NPI for each clinician.

How is setup different for concierge, hybrid and insurance practices?

A concierge or direct-pay practice skips the insurance steps, leaving 48 decisions; an insurance-based practice has 50. For insurance billing, “NPI for each clinician” becomes required, while “Membership plans and prices”, “Enrollment page”, “Publish your enrollment page” and “Your first membership” become optional. Choose your model above and the checklist adjusts.

Is the checklist free?

Yes. The whole checklist is on this page, and your progress is saved in your browser. If you want a printable copy, enter your email and we will send it as a PDF with the items you checked marked done.

Where does this checklist come from?

It is the setup map of the Doctor Rebrand Patient Portal, the platform we build for private practices. Each item is a setting the software asks a practice to decide, so the list stays in step with what setup really involves.

This checklist follows the setup of the Doctor Rebrand Patient Portal. Checklist version 7562d2f3a2040c44.

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