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Have a brief question you would like answered by one of our experts? Please enter it below:
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Wishlist-FORM
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Zip:
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Enter Verification Characters:
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required information
*
Purpose for this change
Expansion
Relocation
Consolidation
New Practice
Satellite Office
Remodeling
What is important to you during this change:
Lower start up costs
Lower Operating Costs
Expand without hiring more staff
Improved efficiency
Improved systemization
Increase patient volume
Improve organization
Lower overhead
Become more profitable
*
Current Treatment technique: (now or future)
Gonstead
Thompson
Diversified
Pierce
Activator
NUCCA
Atlas Orthogonal
Instrument Adjusting
Network
BEST
CBP
Brimhall
*
How did you First Hear about us:
You are currently a member of ______ management and have been for _____ years/months
Currently weekly patient volume
Future Weekly Patient Volume (goal)
Current Patient Visit Average (PVA)
Future Patient Visit Average (Goal)
Current Monthly new patients
Future Monthly new patients (goal)
Are you currently using a paperless software system? If so which one?
Atlas
Chirotouch
Future Health
Platinum
Billing Precision
Quixote
Other
Are you currently using any of the following in your office?
HealthVisions
Brican
EyeQuest
CaerVision
Patient Media
Back Talk systems
Do your patients recieve any form of therapy/traction during their care?
Decompression
Massage chairs
IST (intersegmental traction tables)
Footbaths
Heat
Ice
Muscle Stim
Cold Laser
Pettibon
CBP
lumbar traction
flexion/distraction
cervical 2-way traction
vibe platforms
Lo-tech Rehab
Aerobic exercises
Gym equipment
Hydro-Therapy
Wobble Boards
Wobble Chairs
Are you currently treating in _____rooms:
Closed rooms
Open rooms
Semi-Open
What style Report of Findings do you give
Informal
Semi-Formal
Group
Formal
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