Struggling to Fix the Chaos in Your Practice? Book a Clarity Call Now

Practice Clarity Call Intake Form

This short form helps me understand where your practice is now, what's working, and what’s not so we can make the most of your 90-minute session.

First Name

Last Name

Medical Credentials (MD, DO, DPM, NP, PA, etc.)

What is the name of your practice?

What is your primary specialty?

How many providers are in your practice?

How many employees are in your practice?

Number of Locations

What EHR or PM system are you currently using?

How is your medical billing managed?

What is your biggest challenge right now in running your practice?

What systems or tools are currently causing the most frustration?

What would success look like for you in the next 6 months?

Phone Number

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