Private Practice Mentorship Application
Welcome!

We're so excited that you're considering taking the next step toward building your own healthcare business.

Whether your dream is to open a private practice, weight loss clinic, IV hydration business, or another healthcare venture, our mission is to help Nurses and Nurse Practitioners build profitable businesses that create more freedom, impact, and financial independence.

What You'll Learn Inside Our Coaching Program

  • Build your business from the ground up
  • Choose your niche and ideal client
  • Business formation and legal setup
  • Collaborating physician guidance
  • Credentialing and licensing
  • Office setup and hiring
  • Marketing and social media strategies
  • Systems for growth and profitability
  • Launch planning and ongoing support

This discovery call is designed to learn more about you, your goals, and where you are in your entrepreneurial journey. It also gives us the opportunity to determine whether our coaching program is the right fit for your vision.

Please complete the questionnaire as thoroughly as possible. Your answers will help us personalize our conversation so we can provide the most value during our time together.

We look forward to meeting you and learning more about your business goals!

Tamara Washington, DNP, APRN, FNP-C
Founder & CEO

Fill out the form below so we can hit the ground running on our call! We are so excited to work with you!
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Email *
Full Name  *
Your Phone Number *
What Days and Times work best for your consult *
What do you want your coaching to focus on? *
What 3 goals would you LOVE to hit in the next year with your coaching business? *
What is your biggest struggle with growth or taking the first step? *
Are you currently in another program or working with a business coach?
 *
Are you currently employed? *
How long have you been with your current employer?
Total current monthly income from your job?
Total current monthly income from  your business?
 *
What is your target monthly income?
 *
What do you want the program to give you?
 *
If we are a perfect fit, how soon would you want to get started to reach your goals?
 *
Are you willing to invest financially to start and grow your business to 6 figures? (Flexible payment plans & guaranteed approved funding available)
 *
Are you financially independent, or do you need your partner's support or permission to invest in yourself & your business? 
 *
Is your partner supportive of you starting & growing a coaching business? 
 *
What questions do you have before the call?
 *
How did you hear about us? (i.e. name of person who referred you, website, social media, YouTube or Podcast)
 *
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