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Are you a healthcare provider?

Thank you for becoming a TipTop Med Member!

Take our Provider Survey!

In order to best help you get started on TipTopMed.com, please fill out the following brief questionnaire.

First Name

Last Name

Email

Phone

City

State

Number of clinics

Clinic name(s)

What is your role in the clinic(s)?

Level of Provider (not to be published)

What sets you apart as a TipTop provider?

How do patients normally find you?

How many new patients do you see per month?

What is your goal number of new patients per month?

What is your #1 TipTop goal for your clinic?

Tell us anything else you'd like us to know:

What services would you like to learn about? (Many options only require 1-2 staff members for new services and provide additional 10% of income)

Neuropathy Joint Pain Orthopedic Weight Loss Bioidentical Hormones Sexual Dysfunction Diabetes Pain Management Chiropractic IV Therapy Functional Medicine Coolsculpting

Any other services you'd like to learn about?

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