Tomasetti Family Chiropractic
Associate Provider Application
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Email *
Your Name: *
Best Email: *
Why did you choose your specialty? *
At this point in your career, what is your favorite type of case to work with? *
What is your least favorite case to work with? *
When you are exhausted, what do you do, or where do you go to recharge your batteries? *
How would you define sales? Have you had any sales jobs? *
From a clinical aspect, how would you describe a successful outcome with a patient? *
From a practice management aspect, how would you measure your greatest impact or contribution to the practice? *
What has been the focus of your continuing education? *
How long is your average intial care plan recommendation in number of visits and Length of time for a patient in an acute phase? *
How would you describe your comfort level with technology? What is the latest software you learned? *
A copy of your responses will be emailed to the address you provided.
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