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Membership Review

SCHEDULE A COMPLIMENTARY MEMBERSHIP REVIEW FOR YOUR PRACTICE TODAY!

There are No Obligations & the Business Intelligence is yours to Keep. Get Started Today:

ADO Account Number(s)

Practice Name

Primary Contact Information:

First Name

Last Name

Title

Phone Number

Email Address

What would you like to focus on during your Membership Review?

(Check all that apply) Contact Lens Profitability

Frame Savings

Ophthalmic Lens & Lab Opportunities

Rebate Opportunities

Cost Savings Programs

Growth Focused Programs

Other (Please Describe Below)

Share with us your primary practice goals for the next 12-months:

(Check all that apply) Private Pay Revenue

Capture Rate

Adding New Patients

Patient Retention/Loyalty

Maximizing 3rd Party Plans

Second Pair Sales

Other (Please Describe Below)

Any additional questions you would like covered during your Membership Review?

Best Day & Time to Reach You

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NOTE: Code letters are case-sensitive

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