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THPG Primary Care In-store Clinic Supervision Interest Survey

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Please provide the following information to help us best serve you.

First Name *
Middle Initial *
Last Name *
Email *
Organization *
City *
1. *
Please choose the option below that best describes your interest in the proposed THPG PCP supervision of nurse practitioners at established in-store clinics located in the Metroplex.
 
 
 
Instruction Help us understand your interest level a bit more. Rate the following statements on a 1-5 scale, with 1 being "Nowhere Close to What I'm Thinking" and 5 being "My Sentiments Exactly".
2. *
I'm interested in this opportunity as an additional practice revenue stream.
           
3. *
Whether I serve as a supervising physician to one of the in-store clinics or not, I like the idea that I might receive patient referrals from these clinics.
           
4. *
I believe the in-store clinics will serve as a good new referral source if THPG physicians serve in the supervisory role.
           
5. *
I already receive referrals from an in-store clinic located near my office.
           
6. *
Do you currently or have you previously served as a supervising physician to a nurse practitioner in an off-site clinic setting?
 
 
7.
What questions do you have about this opportunity?
8.
What concerns do you have about this opportunity?
9.
Anything else you want to share with us about this topic?
 

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