EyeCode Custom Consultation

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We are looking forward to helping you with your custom consult from EyeCode Education! Please fill out the form below so we can pinpoint your exact needs. Once this form is complete we will reach out to you shortly to discuss a customized plan and book a discovery call! If you are looking for the Total Patient Care Custom Workshop, please fill out this form and select that accordingly in the questions below.

Email *

First and Last Name *

Where is your practice located? *

What is your preferred email for contacting you about your custom consult inquiry? *

How many optometrists are at your practice? *

Where are you looking for more support in your practice? *

Billing and Coding

Office Disease Processes: ie- AMD, Dry Eye, Glaucoma etc

Office Management

Forms and Paperwork

Total Patient Care: Custom Workshop

Paraoptometric Training Courses

Other:

In general, what areas do you specifically feel like you need more resources and guidance within your practice? Feel free to give as much information so we can understand upfront your needs! This can be anything from office flow, other staff members, office management etc. *

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