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This form must be completed within the next 24 hours.

Congratulations on taking the first step and scheduling your Diagnostic Session with us! 

In order for us to be fully prepared and make the most out of our time together, please answer the questions on this form as accurately as possible. We will not be able to hold your Diagnostic Session until we have receive your completed application.

The purpose of this session is to help you identify the obstacles or obstructions in your marketing and business development efforts that are keeping you from consistently reaching your goals.

Our time together will allow us to determine the appropriateness of integrating OPTICS™ into your healthcare organization. 

OPTICS™ is not for everyone. It is a customized, 6-phase process designed to hyper-focus your marketing efforts, create a powerful marketing team, and accelerate your growth goals.

OPTICS™ implementation requires intense focus from our best fractional CMOs, and because of this we are very selective as to whom we work with and in what capacity. If you do not qualify for this program, we will discuss alternatives at the end of the session.

Regardless, at the end of the session, you will have complete clarity as to what path is best for you to scale your healthcare practice and hit your growth goals as quickly as possible.

Please make sure you complete this form within the next 24 hours.

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Your Business Profile

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Current State and Future Plans for Your Business

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Why is this important to you?

Help us understand why things aren't working for you now.