Med Spa Marketing – More New Patients. Better Ads. Incredible ROI.

Tell us about your practice

Name of Practice*

Main Practice Phone Number*

How many locations do you have?

Please complete one form for each of your locations.

Is this your last location?

If you have completed a form for each of your locations, select yes.

Yes, I have completed a form for each of my locations.
No, I still have an additional location after this one.

Indicate your main location

Practice Address*

Suite Number

City*

State*

Zip Code*

What is a landmark close to your location?*

(i.e. We are across the street from Macy's, we are by IKEA)

What cities, neighborhoods, or towns do your patients come from?*

What are the top three services you want to focus on for your practice?*

Business Hours*

Enter your hours of operation below.

Business Hours - Notes

Enter any other additional information regarding your hours of operation, for example, if you have alternating days, lunch hours, etc.

What month and year did you open your practice?*

Did the practice have a previous name or address?*

Yes
No

Please provide the previous name and or address.*

Using the slider below, would you describe your practice as affordable or high-end?

What is your practice management software?*

Which methods of payments do you accept?*

(i.e. Cash, personal check, CareCredit, credit cards, in-house plans)

Do you accept insurance? If yes, list the plans and list in-network plans you accept starting with the top five.*

Would you like to assign a marketing point of contact for your practice?*

Yes
No, I (the Doctor) will be the point of contact

Point of Contact Name*

Point of Contact Phone Number*

Point of Contact Email*

Your Name*

Your Email*

Best phone number to reach you?*

Providers

How many providers does your practice have?*

First Name*

Last Name*

Suffix*

First Name*

Last Name*

Suffix*

First Name*

Last Name*

Suffix*

First Name*

Last Name*

Suffix*

First Name*

Last Name*

Suffix*

Names of Providers*

Add the information about your providers.

First Name	Last Name	Suffix

Are any of your providers board-certified?*

All of our providers are board certified
Some of our providers are board certified
None of our providers are board certified

Please list the providers that are board certified.*

Which provider would you like to feature/highlight on your website?*

Do you or any other doctors practice in other offices?*

Yes
No

Please provide the names of the other practices.*

Do you have a logo?

Yes
No

Upload logo file

High resolution file of your logo. The file should be in .ai, .eps or .indd. Please also include a .jpg version for digital purposes. Please make sure all images are 300DPI.

Are you happy with your logo/branding?

Yes
No

Does your office have a theme?*

Yes
No

Please explain your office theme.*

Are you currently enrolled or do you plan on enrolling in any phone support services?

Yes
No
I don't know

Welcome To Onboarding

Onboarding 2.0

Welcome To Med Spa Marketing

Tell us about your practice

Providers

Tell us about your marketing

Tell us about your website

Fun Facts

Tell us about your services

Other

Confirmation