top of page

WE'VE MOVED! VISIT OUR CONTACT PAGE FOR MORE INFORMATION!

HOME
SERVICES
OUR TEAM
- Staff Satisfaction Survey
CAREERS
GET STARTED
- CLIENT INTRODUCTORY FORM
- SERVICE INQUIRY FORM
ABOUT US
CONTACT
EMPLOYEE PORTAL
MORE

Use tab to navigate through the menu items.

WE'VE MOVED! VISIT OUR CONTACT PAGE FOR MORE INFORMATION!

WE'VE MOVED! VISIT OUR CONTACT PAGE FOR MORE INFORMATION!

Explore how our services can help you achieve your business goals!

SERVICE INQUIRY FORM

Overwhelmed with mailing and Supply orders? Looking for a real receptionist to talk to your clients?
We Focus on that!

to Help us get to know your business, please respond to the following questions.

We look forward to assisting you!

About your Business

For any questions you are unsure of, please put N/A.

Company name*

Company Address

Company Phone*

Business Industry

Type of Business Entity (ex. LLC)

How many employees does your business employ currently?

Point of Contact

First Name*

Last name*

Email*

Phone

Preferred Form of Contact (ex. phone call)

Business Objectives

What is your primary business objective?

What Package(s) are you considering?*

What Package(s) are you considering?

Administrative

Office Space

Finance

Human Resources

IT/Technology

Recruitment

Marketing

Studio

Training

Medical Credentialing

Please specify what services? (ex. finance: billing)

Additional Questions or Comments

to download a printable version of the form, Click on the PDF. file.

Service Inquiry Form.pdf

Service Inquiry Form.pdf

Focus Practice Management

Phone 585.364.1441

Fax 844.488.0361

1630 Empire Blvd., Suite 3 Webster, New York 14580

© 2025 by Focus Practice Management

bottom of page