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Practice Snapshot Survey

Practice Snapshot provides a quick glimpse of actual practices owned by NPs. Help others learn from your example. Fill out the Practice Snapshot survey, or e-mail Jill Rollet at jrollet@merion.com with information about your NP-owned practice. You might be featured in an up-coming snapshot.

1. Name:


 
2. Age:


 
3. E-mail:


 
4. Name of Practice:


 
5. Location:


 

6. Patient Population:

 

7. Practice Niche:

 

8. Startup Costs:

 

9. Year of Launch:

 

10. Financing Sources:

 

11. Marketing Activities:

 

12. Current Staff:

 

13. Average Number of Patients a Week:

 

14. Billing:

 

15. Software and Other Office Tools:

 

16. Current Financial Health of Practice:

 

17. Future Plans:

 

18. What I Wish I Had Known Before Starting Out:

 


 

 

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