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As for my results, from what i can tell so far, the model derived from Grizzly's notes works very well AND will likely only produce about 10K records a year. I also like Tekime's design because it really cuts down on record count by A LOT, but I have to agree that the allowable alotment for project expansion is limited. I think I've chosen my final design, but I'm still looking over all the choices...
Awesome, glad you have something that looks to be working for you. If you only schedule about 10,000 appointments per year then the model you were going with is probably spot on. Best of luck :)