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Practice name *

Website URL

First name *

Last name *

Email address *

Phone Number

City *

Province *

Practice Details (10 seconds)

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University

Graduation year

Number of Dentists

Number of Active Patients

What is your motivation for partnership?

Transition/Transition Planning

Reduced Administrative Burden

Growth

Other (Please explain below)

What benefits or support are you looking for?

More Time for Patient Care

Work-Life Balance

Reduced Overhead

Recruitment Support

Marketing Services

Training and Development

Operations Support

HR Support

Other (Please explain below)

Any additional information you would like to provide?

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Practice Details (10 seconds)

Confidentiality