Full Name
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Email
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Phone
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Why do you think you would be a good fit with Polygon PT?
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How much experience do you have as a PT?
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0-1 Years of experience
2-5 years
5+ years
Are you a licensed Physical therapist in good standing with your state?
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Yes
No
Do you believe in 1 on 1 treatment?
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Yes
No
How ready are you to Open your own clinic?
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I am ready right now
I want to hear more to see what I need to do
I will be ready in a few more months
Do you have the capital to open a clinic or will you need help sourcing it?
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Yes have it
Will need help sourcing it
SUBMIT