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APEX Form
APEX Chiro Form for September Summit
Name
(Required)
Clinic Name
(Required)
Enter number of employees (Including Doctors)
(Required)
Enter the number of Doctors
(Required)
Enter the average number of days open per month
(Required)
Enter the average number of Doctor hours per month
(Required)
Enter the average number of patient visits per month
(Required)
Enter the average monthly services
(Required)
Enter the average monthly collections
(Required)
Enter the average monthly overhead
(Required)
