Only one practice in your city will be selected.
My only question is, will it be yours?
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Real quick. I need to do a little homework. What's your website? *

Who were you referred by? *

We only accept new clients by invitation only. For those without a referral, select submit a request for consideration along with your reasons to be nominated.

Thanks! I'm Jason by the way. What's your name? *

Thanks {{answer_nuvG}}, but I'll need to check to see if your market is available. Where is your practice based out of? *

From a clinician's standpoint, what procedures do you enjoy doing and would like to do more of? *

If a focus is not listed below, please select Other and specify.

Not bad...  I just Googled your practice and noticed you've got some really impressive reviews. 

Awesome work {{answer_nuvG}}, we both know it isn't the easiest thing to achieve in this industry.

Good news {{answer_nuvG}}, it seems like the {{answer_65696679}} market for {{answer_65694119}} is available. I came across a few things and had a few questions for you. 

When would you have about 10-15 minutes to talk? *

I'm in San Diego, CA so I'll assume that the time you provide is based on your timezone.
Got it. What's the best number to reach you {{answer_nuvG}}? *

Thanks {{answer_nuvG}}! I'll reach out to confirm and get the ball rolling.