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
Current practice setting
Current Specialty
Are you currently feeling burnt out or unfulfilled in your current practice? (Yes/No)
Briefly describe your biggest frustrations with your current practice model:
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
Do you have any experience with business ownership or entrepreneurship?
Yes
No
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
How did you hear about us?
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 