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Help us learn a little about you to get our partnership started!
Name
*
First
Last
Email
*
Phone Number
*
Which best describes you?
*
Nurse Practitioner
Physical Therapist
Are you a Nurse Practitioner? Or would you like to specialize in Family Medicine?
*
Nurse Practitioner
Family Medicine
What type of Nurse Practitioner are you?
Family
Psychiatric
Women's Health
Pediatric
Adult Geriatric
Are you a great Physical Therapist? Or do you want to be the best Physical Therapist in your area?
*
Yes
No
Do you want to be an owner of your Family Medical Practice?
*
Yes
No
Do you want to be an owner of your physical therapy clinic?
*
Yes
No
Do you want to treat your patients your way?
*
Yes
No
Do you want to treat your patients your way?
*
Yes
No
Do you want to control your income?
*
Yes
No
Do you want to control your income?
*
Yes
No
Do you want to be a difference maker in your community?
*
Yes
No
Do you want to be a difference maker in your community?
*
Yes
No
Are you willing and able to invest to make ownership a reality?
*
Yes
No
Are you willing and able to invest to make ownership a reality?
*
Yes
No