Practice Survey
Provide the answer that best describes your practice.
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Email *
Practice name or physician name *
What are your hours of operation? *
What is your specialty? *
How many providers are affiliated with your practice? *
Do you currently have a practice management software implemented (ex. ehr, emr, etc.); if so what platforms? *
On average how many patients does your practice treat monthly? *
What procedures are routinely performed by the providers? Please provide fee schedule and cpt codes if available. *
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