Leasing Space (Clinic Survey)
This form allows us to match you with a healthcare practitioner based on your needs
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What type of healthcare practitioners are you looking to lease to?
Do you have equipment in the room you will be leasing?
If yes, what kind of equipment do you currently have?
Please provide your clinic name and address
Please provide your business liability insurer and policy #
What day(s) do you have lease space available in clinic? (select all that apply)
Please send 2-3 pictures of the space to:
. Please provide any further detail we should be aware of here
What is the monthly rent you are hoping to obtain in this space?
Are you willing to commit to a three month minimum lease?
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