AM Practice Profile | levelupmentoring

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Associate Model

Practice Profile Application

First Name

Last Name

Email Address

How many years have you been in the trench?

Best month EVER in collections (dollar amount):

Best month last year?

Your BEST # of visits in a week, EVER:

Approximate date that occurred:

Current # of weekly visits:

Average weekly visits for 2022:

Average monthly COLLECTIONS in 2022

Average profits per month:

Describe your chiro technique in your office:

How many CA's do you employ?

What's the main attraction for you to get an Associate in your office?

Thank you for submitting! Your applications is under review, we will get back to you within 24-48 hours.

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