Filling out this practice assessment will help us understand the therapeutic modalities you are interested in. It will also allow us to present additional services that may improve patient care and increase your practice's bottom line.
Title *
First Name *
Last Name *
Email *
Phone *
Phone Extension
Name of your practice? *
What State(s) is your practice located In? (Press CTRL key to select multiple States) *
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
How many practitioners are on staff? *
What therapies are you currently offering at your practice? *
Compounding Pharmacy
Medical Weight Loss
HRT for Men
ED Treatments
HRT for Women
IV Nutrition
NAD+ Therapy
Peptide Therapy
Aesthetics and Derm
Pellet Therapy
How many patients does your practice see per week? *
A - 200+
B - 101-199
C - 51-99
D - 50 or less
What is the percentage of male versus female patients? *
Diagnostic Lab Questions
Are you currently drawing blood in-office? *
Yes
No
Do you allow patients to use their insurance for blood work? *
Yes
No
If yes, what percentage of patients have private insurance? Must add up to 100%.
a) PPO Insurance
b) HMO Insurance
c) Medicare
d) Federal Insurance (Tricare)
e) Self-Pay Cash Patients?
Which Panels do you primarily order? *
Hormone Panels
Vitamin and Nutritional Panels
Heavy Metals
Molecular UTI
Gastrointestinal
Cardiovascular
Cognitive Impairment
Integrative/Functional Medicine
Other
Are you looking for better cash-pay pricing? *
Yes
No
Regenerative Medicine Questions
Are you currently using PRP for aesthetic procedures? *
Yes
No
Have you been using a Wharton’s Jelly product? *
Yes
No
Are you currently using Exosomes in your practice? *
Yes
No
Are you interested in a regenerative medicine training program? *
Yes
No
What can we assist you with? *
Competitively Priced Medication
Regenerative Options/Training
Diagnostic Lab Services
Better Cash Prices for Labs
Schedule a review of your practice assessment with David Caddell to go over your practice's needs. *
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