Forms
This form is for use in obtaining a free preliminary consultation relative to your potential practice sale, associate addition, or future ownership transition to your associate. (NOTE: Do not download and complete this Questionnaire without first calling and speaking with Dr. Stollings. Free initial consultation is not available in all circumstances, and is limited to locations in states that we serve.)
Ph: (304) 486-5714 Fax: (304) 486-5815
P O Box 7181
Huntington, WV 25701-7181
Forms / Questionnaires
You can download any of the following five (5) forms directly from this web-site, by clicking on
the desired form. Forms will download in Adobe PDF format, so you will need to have Adobe Acrobat Reader software to access
the forms.
Additional forms, utilized in other aspects of projects, are available by contacting our Company.
This form guides you in gathering the information required to:
i) Obtain a Practice Appraisal from our Company; or,
ii) List your practice for sale with our Company.
This formed is to be used by dentists that are thinking of adding an associate, and would like to have our thoughts as to whether their practices are busy enough to successfully add an associate, and our thoughts as to what level of profitability they may realize from an associate addition.
a) This form is for use by dentists who want to learn more about associateship positions that are available through our Company.
b) The form gathers information that assists us in advising the inquiring dentists as to whether the positions available are appropriate given their career goals and experience.
a) This form is for use by dentists who wish to know more about practices that our clients are offering for sale.
b) It provides information about the inquiring dentists that assists us in determining whether any of the practices listed for sale will match with their career goals and location objectives.
c) It also provides information on the inquiring dentists’ experience so that we know more about the transition structure that might be necessary to increase their chances for a successful transition into ownership and operation of a practice.
d) And, it provides the inquiring party’s agreement to treat detailed information about a practice, that may be provided to him / her, with the appropriate level of confidentiality.