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info@alignmedhealth.com
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(502) 384-5964
info@alignmedhealth.com
Intake form
Help us serve you better
Name
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Email address
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What type of services are you interested in?
Please select at least one option.
Operational Optimization
Growth Strategies
Ambulatory Care Solutions
Management Services Organization (MSO)
Consulting Services
What is the size of your practice or center?
Select
Solo Practice
Small Group (2-5 Providers)
Medium Group (6-15 Providers)
Large Group (16+ Providers)
What is your primary area of specialization?
Select
Primary Care
Surgery
Pediatrics
Dermatology
Cardiology
Orthopedics
What challenges are you currently facing in your practice?
How did you hear about us?
Select
Referral
Online Search
Social Media
Healthcare Conference
What is your desired timeline for implementing new services?
Select
Immediate
1-3 Months
4-6 Months
6+ Months
Additional questions or comments
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