Begin the Journey to Your Perfect Practice

Functional Medicine & Biohormone Academy is committed to helping physicians and clinics optimize patient care, expand services, and elevate overall practice performance through expert guidance and innovative solutions.

By completing this Practice Enhancement Form, our consultants can identify the best strategies, resources, and support tailored to your practice’s unique needs.

First Name *

Last Name *

Email *

Phone *

Business Name

Website

Professional Designation

MD/DO

Naturopath

Nurse Practitioner

Physician Assistant

Nutrition Professional

Acupuncturist

Chiropractor

Health Coach

Other

Do you own your own practice?

Yes

No

Are you in group practice or work for a hospital?

Yes

No

Are you starting your practice from scratch?

Yes

No

Are you currently practicing functional medicine?

Yes

No

If you are practicing functional medicine, how much of your time is devoted to functional medicine?

100%

75%

50%

25%

Only on Friends & Family

Do you currently accept insurance?

Yes

No

Is your vision of your Perfect Practice to move from insurance to all cash pay?

Yes

No

Is your vision of your Perfect Practice to move from insurance only to a hybrid model of insurance and cash?

Yes

No

Do you currently sell supplements or other products at your office?

Yes

No

How many employees are on your team?

Me only

1-4

5-9

10+

Does your team currently offer bio identical hormone prescriptive? If so, which ones?

How large is your hormone practice in patients so far?

Do you offer medical aesthetic services at your practice currently?

What services for you offer?

Do you offer skincare currently at your practice? Which brands?

Do you currently offer any GLP’s, peptides, or other specialty prescriptive at your practice?

Do you offer IVs?

Do you offer vitamin/amino acid injectables like vit b, vit d, carnitine, or glutathione shots or packages?

What devices/lasers do you currently use and still pay leases on?

Do you currently offer any type of bundling or memberships in your practice?

Do you currently have a written business plan?

Do you currently have a written marketing plan?

Tell us about your practice and your vision for your perfect practice. *

How did you hear about us?

Referral From a Colleague

Our Website

Social Media Search Engine

Referral Partner

Met at a Conference

Next

Service Area

Global Reach

1401 Malvern Avenue,

#180 Hot Springs, Arkansas 71901 USA

hours

Monday - Friday (8:00 am - 6:00 pm)

Central Standard Time

Saturday (Closed)

Sunday (Closed)

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