Thank you for getting in touch to let us know about a change in your practitioner count!
 
Please complete this form to formally notify us of this change.
Your updated practitioner count should reflect the usage of any active HotDoc products.

Kindly Note: the new practitioner count will only reflect in the billing cycle after the change takes effect

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* 1. What is the name of your Practice?

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* 2. What is your full name?

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* 3. Who is your HotDoc Customer Success Manager?

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* 4. How many practitioners were you being billed for? (You can reference your latest invoice to confirm this number)
NB: Leave blank where not relevant

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* 5. How many practitioners will now be at your practice? (This is the updated/new number of practitioners that will be billed)
NB: Leave blank where not relevant

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* 6. When will the change in practitioner count take effect?
NB: If the change takes effect immediately, any changes will apply from the next billing cycle and will be applied to your next HotDoc invoice.

Date

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* 7. Why has the practitioner count changed?

 
 33% of survey complete.

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