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Unless you are starting a brand new practice there WILL be opening balances to establish.
The most important opening balances are:
These balances represent the 4 sub-ledgers that MUST balance with the General Ledger.
We recommend that you consult your accountant regarding a General Ledger account structure that will work well for both your clinic's reporting requirements and your accountant's processing. Your accountant should be able to advise you regarding opening balances, if you do not already have that information.
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