The kit ships as editable Word and PDF files. Completed examples use the fictional practice Lakeview Family Dental.
Practice Manager Conversations Toolkit
The five hardest conversations in a small practice, scripted word for word, paired with the alignment system that stops the doctor and the practice manager from undercutting each other.
One-time purchase, no subscription. Instant download.
Built by expert HR practitioners and leaders
- The five hardest conversations, word for word: scripts for chronic lateness on a six-person team, a hygienist performance concern on operational measurables only, a front desk complaint pattern, a raise the practice cannot meet, and a two-person conflict
- Each script ready to run: every script carries the objective, preparation, exact wording, likely responses with suggested replies, documentation guidance, and follow-up actions
- The alignment system no script library includes: a decision-rights table the doctor and manager fill in together, a backchannel redirect, a weekly fifteen-minute alignment meeting, and the united-front rules
- A clear clinical boundary: the hygienist script stays on operational measurables and routes clinical care concerns to the dentist, stated explicitly, which protects the manager, the hygienist, and the practice
- A united front that holds: the structure that stops the doctor from reversing the manager in the hallway, because the next conversation is lost the moment that happens
The toolkit gives the manager the words and the alignment with the doctor. It is not a substitute for counsel, and if a conversation reaches harassment, discrimination, a medical condition or leave request, or a threat, stop and involve qualified counsel or HR support the same day.
Editable files in Word and PDF, general business information, not legal or tax advice. If a conversation reaches harassment, discrimination, a medical condition or leave request, or a threat, stop and involve qualified counsel or HR support the same day, and confirm your requirements before you rely on this.
Last reviewed June 2026
Three files that script the conversation and align the practice
The scripts open in Word with PDF copies for reference, and the alignment guide ships with a completed example. The Product License covers the kit.
Start Here Guide
The one-page map: read the alignment guide with the doctor first, fill in the decision-rights table, book the weekly meeting, then keep the scripts on hand.
Practice Manager Conversation Scripts
Five complete scripts: chronic lateness on a six-person team, a hygienist performance concern handled on operational measurables only, a front desk patient complaint pattern, a raise request the practice cannot meet, and a two-person conflict in a small office, each with objective, preparation, exact wording, likely responses with suggested replies, documentation guidance, and follow-up actions.
Doctor and Practice Manager Alignment Guide
The decision-rights table you fill in together, the backchannel redirect for the employee who goes around the manager, the weekly fifteen-minute alignment meeting, and the united-front rules, with a completed example.
From a problem everyone sees to a conversation that holds
The alignment guide settles who decides what, the weekly fifteen minutes keeps it settled, and the scripts give the manager the exact words the day before the conversation.
Align with the doctor first
Read the alignment guide together, fill in the decision-rights table in the same sitting, and agree the united-front rules, so the doctor and the manager stop undercutting each other.
Book the weekly fifteen minutes
Put the fifteen-minute alignment meeting on the calendar, so the structure stays fixed and the backchannel redirect handles the employee who goes around the manager.
Read the script, then document
Read the relevant script the day before the conversation, not during it, run it, and document the same day using the guidance in each script.
Built for a small office, honest about the legal lines
In a six-person office there is nowhere to hide from a hard conversation, and the unhappy employee can walk past the manager and get a different answer from the doctor. This toolkit gives the manager the words and the alignment, and says plainly when to stop and call counsel.
Who it is built for
Who the toolkit fits, and where to go if your need is something else.
Built for
- A practice manager carrying the chronically late assistant, the front desk complaint pattern, and the raise the practice cannot afford, in full view of a six-person team.
- A practice where the doctor and the manager disagree on handling people, and the employee gets a different answer depending on who they ask.
- A manager who wants the exact words for the hard conversation and a clinical boundary that protects everyone.
If your need is different
- The HR foundations under the conversations. The Dental Practice HR Starter System stands up the manual, the files, and the acknowledgment log.
- The first 90 days for a new hire. The Dental Onboarding System runs a credential gate, two tracks, chairside shadowing, and 30, 60, 90 day check-ins.
Before you buy
The doctor and I disagree on handling people. Will this help?
Can I use the scripts word for word?
What if the conversation involves clinical care quality?
Do I need special software?
What is the refund policy?
What happens after I buy?
Can I expense this purchase to my business?
The 6 red flags to check before you discipline or fire someone
A five-minute screen that catches the most common and most expensive people-decision mistakes before they happen. Free PDF, sent to your inbox. Unsubscribe anytime.
Give the manager the words and the alignment
Your team, your hardest conversations, and the doctor who reverses you in the hallway: the toolkit turns them into word-for-word scripts and a decision-rights table that makes the scripts work.
Practice leadership support, not legal or tax advice. Last reviewed June 2026.