402.488.2020

Welcome to Williams Group Great Start Foundations! Please complete the following questions to the best of your ability. This questionnaire will be a key resource in getting to know you and your practice. The information will be relied upon and referenced throughout your program.

"*" indicates required fields

General Practice Information

Practice Owner*
Practice Address*
Primary Contact*
Specialized Services of Practice*
Accepted Vision Insurance Payors*
Accepted Health Insurance Payors*

Business Management

Practice Office Hours

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Statistical Tracking

Optical | Clinical | Scheduling Processes

Free Consultation for Contact Lenses*
Trial Period for Contact Lenses*
Sunglasses Incentives to Contact Lens Patients*

Staff Management

Written Employee Policy Handbook*
Office Procedure Manual*
Training Manual*
Job Descriptions*
Individual Goals for Staff Members*
Staff Effective at*
Reward Staff for Referrals*

Marketing

Marketing Plan*
Marketing Budget*
Forms of Media Advertising*
Marketing Tools Within Practice*
Social Media Platforms*
Ask for Reviews / Referrals*

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