MIFAS Accelerator Application

The MIFAS Accelerator™ Application

Please fill out the simple form below! After submitting the form, you will be redirected to the calendar where you can schedule a FREE Strategy Session.
Let's get started... What is your name?*

First NameLast Name
What is your Email?*
example@example.com
Mobile Phone Number?*
What city and state are you based in?*
What is your practice website url? (if none, please type "none")*
What is your current estimated monthly revenue?*
What is your target monthly revenue?*
What do you feel is your biggest obstacle to hitting your monthly revenue goal?*
How comfortable are you in MIS procedures currently?*

I have never performed MIS procedures as of yet.I have performed some soft tissue procedures.I have done soft tissue and some simple exostectomy procedures.I have performed soft tissues and MIS osteotomies but I want to improve more skills.
How willing are you to invest in implementing MIS and growing your practice right now?*

1

2

3

4

5

1 is Conservative, 5 is Agressive
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The MIFAS Accelerator™ Application