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*Intentional false answers may be reported to your professional licensing board.

  1. 1.) Have you been practicing medicine, not including your residency, for at least 4 years?

    2.) Do you see patients and provide clinical care at least 20 hours/week?

  1. 3.) Do you average more than twice the continuing education required for licensure? Please include time you spend at medical meetings or rounds, at seminars or courses or viewing videos or webinars. You may also include time spent reading professional magazines, online C.E., or web-forums.

    4.) Do you belong to at least one professional society or association associated with your field?

  1. 5.) Have other health care providers (or their families) chosen you for treatment? Please include doctors, dentists, therapists, pharmacists, nurses (RN or LPN), optometrists, medical technicians, EMT's etc.

  1. 6.) Do you have at least 5 patient reviews online, that are less than 3 years old?

    7.) Are you confident that your average online reputation score is 3.9 (out of 5) stars or higher, based on patient reviews?

  1. 8.) If asked, could you provide 3 or more excellent testimonials from colleagues, that rate you at least 4 (out of 5) stars?

    9.) Do you feel you are a better Doctor than at least 75% of your colleagues

  1. 10.) Do you treat and care for your patients as you would a member of your family?

    11.) Please answer "Yes" if you do NOT have any health issues that might compromise your ability to provide optimal care to your patients

  1. 12.) Please answer "Yes" if in the last 4 years:

    a. Your medical and drug prescribing licenses have been current and NOT been modified; (or if you are a non-prescribing DC, OD or PhD.)

    b. You have NOT had to appear before a medical or hospital board for disciplinary action, lost any malpractice claims or been convicted of a felony.

  1. If you would like to list fellowships, advanced degrees, honorary degrees or specialty certificates listed, please consider a "Preferred Listing" as described on our next page.
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  3. License numbers are for internal verification of credentials & will never be released to the public or any third party.

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