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Direct Care Acclerator Application

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Last Name

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How happy are you with your current practice automations and systems?

👎🏻👍🏻

How long have you had your direct pay practice?

Time in months

Please indicate your monthly revenue in your practice:

Under $10,000

$10,001-$24,999

Over $24,999

What is driving you to consider this intensive 12 week program?

What is the value of a new patient to your practice?

<$1000