The Micropractice Academy
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Ready to get your dream practice started? Fill out this form and we’ll be in touch
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Name
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Email
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Phone
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Current practice setting
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Current Specialty
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Are you currently feeling burnt out or unfulfilled in your current practice? (Yes/No)
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Briefly describe your biggest frustrations with your current practice model:
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What aspects of a micro-practice model are most appealing to you? (select all that apply)
More time with patients
Greater control over schedule and workload
Improved work-life balance
High income potential
Focus on preventive/holistic care
Other
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Do you have any experience with business ownership or entrepreneurship?
Yes
No
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What specific areas would you like coaching support in to create your micro-practice? (Select all that apply)
Business plan development
Marketing and patient acquisition
Financial Planning and Budgeting
Legal and regulatory considerations
Time management and workflow optimizations
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How did you hear about us?
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Is there anything else you’d like to share about your current situation or goals for a micro-practice?
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The Micropractice Academy 