1. About Your Practice

* 1. What is the name of your practice?

* 2. What is the ownership type (i.e. sole proprietorship, Limited Liability Corporation, etc.)?

* 3. What is the name of your practice owner(s)?

* 4. What is the name of your practice manager?

* 5. What is your practice manager's email address?

* 6. Does your practice pay ISVMA membership dues for all staff veterinarians as a benefit of employment?

* 7. Does your practice utilize any of the following ISVMA sponsored benefit programs?

  Yes No Would like to learn more about this program.
TransFirst Health Services (ISVMA member discounted credit card processing)
FedPay USA (NSF Check Recovery Program)
Diversified Services (delinquent account collection services)

* 8. If your practice has a website, what is the URL?

* 9. ISVMA gets many requests from practices that wish to have the E-SOURCE Newsletter and an electronic copy of the Epitome sent to a general email address (not a member veterinarian's personal email address). If your practice has a general email address and wishes to have the E-SOURCE sent to that address, please provide it below.

50% of survey complete.