Practice Analysis Survey

Personal Profile



Is this telefax? YesNo



Practice Demographics

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Office Visits Per Week
New Patients Per Week
Average Billings Per Week
Average Collections Per Week
PPO
HMO
Work Camp
Medicare
Medicaid
Cash
Other
Total
100%

Office Description and Operations

Sole Practitioner
Employ Associates
Partnership
Corporation
Practice Full-Time
Manage Full-Time
Manage Part-Time
YesNo
YesNo
If 'Yes', who:
Office Building
Store Front
High Rise
Other
YesNo
MD/DO
NP/PA
RN
PT
MA
YesNo
If 'Yes', what kind?
YesNo
If 'Yes', name?
YesNo

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DISCLAIMER: GreenMCMeds does not partake in cultivation or dispensing of cannabis in no way, shape, or form, nor are we affiliated with any dispensaries or cultivation sites.

GreenMCM

“Your Health, Our Passion!”

Our Inspiration

Our Inspiration

Mon Chéri inspired us in her battle with brain cancer. Her fight helped us think differently about disease, prescription drugs and how knowledge is the key to prevention and treatment.

Contacts

   info@greenmcm.com

   (312) 838-2400

   233 East Erie Street, Suite #506
         Chicago, Illinois 60611

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