Clinic Setup Inquiry

Please answer the following questions so we have a better idea of how we can help your practice.
First Name*
Last Name*
Name of your practice
Email Address*
Do you currently have a website? If so please list the URL.
Where is your practice located? How many rooms does your clinic have. Please give us a thorough description of the space and setting.
How many practitioners are in your practice?
Do you currently have a receptionist? How many hours does this person assist you?
How many patients does your practice serve on a weekly basis?
What type of computer do you use in your office?
Once we review your information we will schedule a meeting with you via phone or computer to discuss next steps and to make sure we can fit each others needs.
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Please answer the following questions so we have a better idea of how we can help your practice.