Should I ask patients to commit to returning for prevention before quoting a fee? Yes, and do it before the number comes out. Getting agreement that they'll come back for prevention isn't a hoop, it's protection for both of you long term. I don't like surprises, and neither does the patient, so anything that reduces them down the road is worth setting up now. Frame it as a condition of doing the comprehensive work: I want to help you, and there are a couple of things I need us to agree on first, one being that you'll return for your prevention [...]