George D. Stollings and Associates, Inc.

You can download any of the following three (3) 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.

 

Information Collection Questionnaire

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.
Note: This questionnaire is not for use by dentists obtaining our:

1. Practice Sale and Transition Structure Planning Service; or,
    2. Practice Sale Guidance and Assistance Service.

Dentists seeking these services should contact us for the correct Information Collection Questionnaire.

Associate Information & Preferences

Practice Buyer Information - Preferences - Confidentiality

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.

Our Experience