STEP 2: PRACTICE VALUATION

optometrymatch.com PRACTICE VALUATION

A product of the Practice Management Center
Name

First NameLast Name
E-mail (the email you want us to use to communicate with you)
Phone Number (What number do you want us to use to contact you?)

Area CodePhone Number
Practice Name
Number of Practice Locations
Are you the owner of the practice?
How many total OD clinical hours occur each week on average (eg: owner ODs + Associate ODs)? These are clinical hours not administrative hours.
How many total owner clinical hours occur each week on average?
Please upload the most current year of Federal tax returns for the practice.

Upload a File

Cancelof
Please upload last year's Federal tax returns for the practice.

Upload a File

Cancelof
Please upload the year before last of Federal tax returns for the practice.

Upload a File

Cancelof
Please upload the most current annual P&L Statement for the practice.

Upload a File

Cancelof
Is the selling doctor a Vision Source Administrator?
Thank you! You have now completed inputting data for INITIAL PRACTICE VALUATION. From this data we can create a verbal Practice Valuation.

Do not forget to click on SUBMIT below to transfer the practice information to us.

Then, go back to optometrymatch.com and click on PRACTICE INFORMATION VALIDATION. This part will give us the background information to validate the Practice Valuation.
Should be Empty:

optometrymatch.com PRACTICE VALUATION