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Intake form
Help us serve you better
Name
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Email address
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What type of healthcare or wellness business do you operate?
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Private Clinic
Wellness Center
Holistic Health Center
Veterinary Clinic
Alternative Health Center
What specific challenges is your business currently facing?
Please select at least one option.
High operational costs
Inefficient workflows
Compliance concerns
Outdated technology
Staffing issues
Data security risks
What services are you interested in?
Please select at least one option.
Technology & Operational Cost Reduction Assessment
Compliance, Security & Risk Management
Tech Talent Optimization Audit
AI and Automation Implementation
Workflow Optimization
What is your current annual budget for consulting services?
How soon are you looking to implement changes in your business?
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Immediately
Within 1-3 months
Within 3-6 months
Not sure
Please describe your current technology stack or systems used in your business.
Which service or services are you interested in?
Please select at least one option.
Additional questions or comments
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