| Please send me a proposal for: |
Assessing the performance of my practice
Appraising of the fair market value of my practice
Assistance in designing a physician compensation plan
Leading us through the strategic planning process
A consultation on other practice development issues
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* Denotes Required Information |
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E-mail address:* |
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Full Name:* |
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Address of Your Practice:*
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City:* |
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State/Prov:* |
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Postal Code:* |
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Country:* |
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Phone:* |
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Website: |
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Specialty:* |
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Number of Physicians: |
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Number of Mid-Level Providers: |
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Number of Office Locations: |
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| Questions I'd like answered by this consultation: |
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| I want a consultant who... |
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| I'd like the project to be completed by: |
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| Other Comments: |
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