Private Practice Mentorship Inquiry Form
Submit your interest in receiving mentorship for your private practice journey.
Welcome Driven Dietitian!
I am so excited you are here and you've decided to inquire about private practice mentorship with me! I can't wait to chat with you to see if we're a good fit! This inquiry form will help me learn more about your private practice (or private practice to be) so I can gather insight about which offer is the best fit for you. Please answer all questions to the best of your ability. The more detailed you are, the better! I will be in touch with you within 72 hours, if I believe we are a good fit to work together!
Full Name
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First Name
Last Name
Email Address
*
example@example.com
Social media handle (if applicable)
How did you hear about me?
What is the best way to get in contact with you? social media, email
Tell me a bit about your current or aspiring private practice. What is your niche? Who do you help? Have you already started taking clients, if so, for how long?
What do you feel are the biggest things that you would like to get out of this mentorship? (check off your top 2-3 answers)
Getting my insurance private practice started/ shifting from a group practice to your own practice
Getting contract with insurance/ exact steps to add insurance to your practice
Reimbursement/ streamlining claim submission
Communicating offers with providers/building referral partnerships
System management/ Admin work feels easier
Which best describes the type of mentorship you are looking for? This helps me identify the best experience to yield you the highest results in a style that works for you!
I am interested 1:1 appointment mentorship ONLY
I would like 1:1 messaging support where I can ask questions as I go
I would like a self paced course so I can go back to the foundations at my leisure
I want a combo of self paced so I can go back to the foundations at my leisure and desire the done with you style mentorship
Mentorship is an investment. It is important you feel comfortable and excited investing in your private practice! Do you have a current budget in mind? Keep in mind we can set up personalized payment plans as needed.
I am excited and comfortable investing under $500 if it feels like a good fit
I am excited and comfortable investing $500-$1000 if it feels like a good fit
I am excited and comfortable investing up to $2000 if it feels like a good fit
I don't have a budget, but I am open to hearing about different mentorship options that would work for me best
Submit Inquiry
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