Top 3 Goals These are meant to be a snapshot of your current goal focus areas and may change as we identify areas of opportunity through the plan of action process.1. 2. 3. What results do you expect to see in your practice within six months of joining iVET360?(Required)Company NameOfficial Name:Exactly as it should appear in any official documents or applications Marketing Name:Exactly as it should be listed on all marketing or other public facing materials Practice Management Software:(Required) Accounting Software: OwnershipPrefix First Name Last Name Email Business Title Ownership Tenure Share % Add a Second Owner? Yes Prefix First Name Last Name Email Business Title Ownership Tenure Share % Add a Third Owner? Yes Prefix First Name Last Name Email Business Title Ownership Tenure Share % Add a Fourth Owner? Yes Prefix First Name Last Name Email Business Title Ownership Tenure Share % Add a Fifth Owner? Yes Prefix First Name Last Name Email Business Title Ownership Tenure Share % Location(s) InformationTotal Number of locations: Primary Location Name: PhoneFaxWebsite Primary Contact # of Staff Estimated Full-Time Equivalent DVM for Previous Year:(How do I calculate this?) Number of Exam Rooms Square feet of leased/owned space Add a Second Location? Yes Location Name: Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneFaxWebsite Primary Contact # of Staff Estimated Full-Time Equivalent DVM for Previous Year:(How do I calculate this?) Number of Exam Rooms Average Fee Percentage Increase Over Course of Year (excluding shoppable fees) Add a Third Location? Yes Location Name: Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneFaxWebsite Primary Contact # of Staff Estimated Full-Time Equivalent DVM for Previous Year:(How do I calculate this?) Number of Exam Rooms Square feet of leased/owned space Add a Fourth Location? Yes Location Name: Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneFaxWebsite Primary Contact # of Staff Estimated Full-Time Equivalent DVM for Previous Year:(How do I calculate this?) Number of Exam Rooms Square feet of leased/owned space Add a Fifth Location? Yes Location Name: Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneFaxWebsite Primary Contact # of Staff Estimated Full-Time Equivalent DVM for Previous Year:(How do I calculate this?) Number of Exam Rooms Square feet of leased/owned space Add a Sixth Location? Yes Location Name: Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneFaxWebsite Primary Contact # of Staff Estimated Full-Time Equivalent DVM for Previous Year:(How do I calculate this?) Number of Exam Rooms Square feet of leased/owned space Add a Seventh Location? Yes Location Name: Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneFaxWebsite Primary Contact # of Staff Estimated Full-Time Equivalent DVM for Previous Year:(How do I calculate this?) Number of Exam Rooms Square feet of leased/owned space Add a Eighth Location? Yes Location Name: Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneFaxWebsite Primary Contact # of Staff Estimated Full-Time Equivalent DVM for Previous Year:(How do I calculate this?) Number of Exam Rooms Square feet of leased/owned space Add a Ninth Location? Yes Location Name: Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneFaxWebsite Primary Contact # of Staff Estimated Full-Time Equivalent DVM for Previous Year:(How do I calculate this?) Number of Exam Rooms Square feet of leased/owned space Add a Tenth Location? Yes Location Name: Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneFaxWebsite Primary Contact # of Staff Estimated Full-Time Equivalent DVM for Previous Year:(How do I calculate this?) Number of Exam Rooms Square feet of leased/owned space Add a Eleventh Location? Yes Location Name: Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneFaxWebsite Primary Contact # of Staff Estimated Full-Time Equivalent DVM for Previous Year:(How do I calculate this?) Number of Exam Rooms Square feet of leased/owned space Add a Twelfth Location? Yes Location Name: Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneFaxWebsite Primary Contact # of Staff Estimated Full-Time Equivalent DVM for Previous Year:(How do I calculate this?) Number of Exam Rooms Square feet of leased/owned space Add a Thirteenth Location? Yes Location Name: Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneFaxWebsite Primary Contact # of Staff Estimated Full-Time Equivalent DVM for Previous Year:(How do I calculate this?) Number of Exam Rooms Square feet of leased/owned space Add a Fourteenth Location? Yes Location Name: Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneFaxWebsite Primary Contact # of Staff Estimated Full-Time Equivalent DVM for Previous Year:(How do I calculate this?) Number of Exam Rooms Square feet of leased/owned space Add a Fifteenth Location? Yes Location Name: Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneFaxWebsite Primary Contact # of Staff Estimated Full-Time Equivalent DVM for Previous Year:(How do I calculate this?) Number of Exam Rooms Square feet of leased/owned space Management Staff Information Please list details for staff in a management role with in the practice.Name First Last Email Role Start Date Certifications Notes (Optional)Add Second Management Staff Member? Yes Name First Last Email Role Start Date Certifications Notes (Optional)Add Third Management Staff Member? Yes Name First Last Email Role Start Date Certifications Notes (Optional)Add Fourth Management Staff Member? Yes Name First Last Email Role Start Date Certifications Notes (Optional)Add Fifth Management Staff Member? Yes Name First Last Email Role Start Date Certifications Notes (Optional)Add Sixth Management Staff Member? Yes Name First Last Email Role Start Date Certifications Notes (Optional)Add Seventh Management Staff Member? Yes Name First Last Email Role Start Date Certifications Notes (Optional)Add Eighth Management Staff Member? Yes Name First Last Email Role Start Date Certifications Notes (Optional)Add Ninth Management Staff Member? Yes Name First Last Email Role Start Date Certifications Notes (Optional)Add Tenth Management Staff Member? Yes Name First Last Email Role Start Date Certifications Notes (Optional) Δ
