Form

MEG Virtual Front Desk Interest Survey

This form is intended to gather baseline information from practice owners interested in virtual front desk services. After submitting this form, you will be contacted by MEG's Virtual Front Desk team. If your interest in VFD services changes at any time, please reach out to let us know. - MEG Business Management Team

Owner Information

Practice name*

Email*

First name*

Last name*

Phone number*

Mobile phone number*

Are you currently a MEG Client?*

Yes

Are you a startup?*

Yes

What is your role in physical therapy?*

Owner

Clinician

Staff

Student

How did you hear about MEG*

Podcast

Found Online

Referral

Other

General Practice Information

Street address*

City*

State/Region*

How Many Locations Do you Have?*

Years in Business*

Total Hours of Operation (weekly) *

How many days per week are you open? *

What services do you offer (choose all that apply) *

1 or more Cash Based Services

What percentage of your business is in-network? *

90-100%

70-89%

50-69%

30-49%

<30%

Are you currently using any of the following MEG services?*

Billing

VFD

MEG Academy

Credentialing

IVO

None

What EMR Software are you using?*

Does your EMR allow for digital intake forms or self scheduling? *

Yes

I Don't Know

Which of the following is true for your practice? (select all the apply) *

Traditional insurance based model

Hybrid in/out network model

Primarily out of network

Cash Based

Mobile

Primarily Specialty Services (women's health, neuro, pediatrics)

Other

Clinic Stats

Number of FTE Clinical Staff*

Average number of patient visits per week*

Average number of new patients per week*

What is your ultimate goal for implementing Virtual Front Desk Services in your practice? *