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Request for Services

Permanent Physician
If your group or hospital is looking to add a physician, please provide us with the following information. A Concorde consultant will contact you to discuss the specifics of your search and answer any questions you may have about our fees.

Specialty needed?

 

Practice description: 
Single-specialty   or multi-specialty group

Hospital based?  Yes   No

 

Number of physicians in the practice:

 

Location:

 

Contact Person:

 

Name of practice/hospital:

 

Address:

 

Phone:

 

E-mail:

 

Best time to reach:

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