Practice Spotlight Questionnaire

If you are interested in having your practice featured on the Answer Health website, please respond to the questions below. Anticipated time to complete this form is 5-10 minutes.

Practice Name
Contact Name Contact Name First Last
Contact Email
Please provide details on practice developments you would like featured:
Maximum of 500 words allowed. Currently Entered: 0 words.
Please upload your preferred practice logo

Attach Files

Upload files in .jpg, or .png format. Preferred image size is 300 x 300 px.
Please upload images you would like included with your spotlight (e.g., headshot of new provider, photo of new location/equipment).

Attach Files

Upload files in .pdf, .jpg, or .png format. Preferred image size is 300 x 300 px.
(OPTIONAL) Please have a member of your physician leadership provide a brief testimonial on the benefits of being an Answer Health member:
Maximum of 250 words allowed. Currently Entered: 0 words.
Terms & Agreement

Terms & Agreement By submitting this form, I give Answer Health permission to use my responses for marketing purposes. Answer Health reserves the right to modify responses on this form to fit the company standard across all platforms. Changes will be reviewed with the practice contact prior to publication.