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Tell us about Yourself and Your Medical Practice

Thank you for your interest in Westwind Communications’ Medical Practice Marketing. We'll gladly outline our Medical Marketing and PR services in a proposal that we’ll email to you. But first, tell us a little about yourself, your practice and your needs. What is the name of the practice? Do you have a marketing plan now? Do you have web site? What is your specific goal I.E. to grow the practice, raise awareness or a new procedure, get the attention of a buyer, to attract new associates or something else?

After you send me this information using the form below we’ll prepare a customized proposal that fits your specific needs.

We look forward to hearing from you.

Medical Practice Information

Name of the Practice:

Your Name:

Marketing Contact:

Address:


City:      State:      Zip:  

Phone:

Fax:

Email:


Web Site URL:

Do you currently have a Pay Per Click campaign on:

Google   Yes   No
MSN   Yes   No
Yahoo   Yes   No
If yes, what do you spend per month? $

Practice Type

Solo Practitioner
Member of a Group Practice
Other: (IE, Hospital, Testing Lab, etc)

Describe the problem and why you need marketing and PR.

Budget   $5,000 - $10,000   $10,000 - $15,000   $15,000 - $20,000   $20,000+

Timing  When do you want to get started?

I am ready to start now.
Want to start in (Month/Year)
Not Sure

Goals and Objectives
What is your specific goal I.E. to improve the bottom line, raise awareness of a new practice areas, grow the practice by 20%, get the attention prospective buyer, generate more business from the Internet or something else?


How did you find out about Westwind Communications?
Please be specific as to search engine, search term, article title, referral, etc.
Thank You

 
   Phone: (734) 667-2098 scottlorenz@westwindcos.com Fax: (734) 455-7090   
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