Leasing Space (HCP Survey)
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What is your professional designation? *
Do you require equipment to see your patients/client in clinic? *
If yes, what kind of equipment do you require? *
Please provide your college registration # *
Please provide your liability insurer and policy # *
What day(s) would you like to be in clinic? (select all that apply) *
Where would you like to lease space for your clients? Please provide city and details about area preferred. *
Are you willing to commit to a three month minimum lease? *
How much are you willing to pay for renting space in the clinic?
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