Form

What is your job title?*

DC, DO, LMT, LPN, MD, NP, PT, RN, Office Manager, Clinic Director, etc.

First name*

Last name*

Email*

What is your clinic's name?*

Please provide the full name. If you are not associated with a clinic, let us know your current situation.

Do you currently have a laser unit?*

If so, how many and what kind? (e.g., K-Laser, Summus, etc.)

Why are you considering adding laser therapy into your practice?*

How did you discover laser therapy and what is your experience with it?

What are your goals and plans as they relate to laser therapy?*

Please take a moment to tell us what you envision implementing laser therapy into your practice would look like.

What are the conditions you most frequently treat/what is your patient demographic?*

e.g., geriatrics, sports, musculoskeletal, chronic, etc.

How many patients visit your clinic per workday?*

Also, what is the average duration of each patient visit?

What are the potential obstacles preventing you from adding laser therapy into your practice?*

Feel free to express financial, demographic, timeline, or any other logistical concerns you may have.