Abstract: A record and billing service system and method for use in health care offices. The system allows a health care agent to generate a visit form for a patient that keeps a record of the patient's health history and treatment records received at a healthcare facility. The visit form includes procedure and/or diagnoses information that is particular to a given health care provider or facility. Thus, the system generates the visit form, which shows the types of procedures, diagnosis, inventory, and the like normally provided in the health care office by the health care provider. The application can be customized to reflect specialties provided in that office or by that provider. The system also converts the types of procedures, diagnosis and inventory matters listed in the application into accurate billing records.