Luxe Daily Clinical Service & Incentive Report
Mindy Adams, RN | Daily Service Incentive Calculator
Service Date
*
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Location
Please Select
Fort Wayne
Decatur
Other
IV Hydration/ Therapy Services
Vitamin Injections
Wellness Services
Weight Management Services / Weight Loss
Select all weight-management services performed during this shift. Each eligible service earns $20 flat-rate incentive. Weight-management revenue is allocated to Elevate Medical PC.
Microneedling Services
Dermal Filler Services
Neurotoxin Services
Lip Flip
Package Sale/ Gift Card Sale/ Membership Sale - Service attached redemption
ie: Microneedle package service 2 of 3 ($0 Commission owed)
Total Daily Flat-Rate Service Incentives ($)
Total Cash Collected Today ($)
*
Enter the toal cash payments received during this shift, as recorded in SQUARE. Enter 0 if none.
I certify that all qualifying services reported were personally performed by me, completed in accordance with approved clinical protocols, and documented in Aesthetic Record.
YES
Other info if needed:
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Should be Empty: