Application Form

Please fill out this short application, just so we can get to know your situation better. Then, on the next page, you'll book a call with someone on our team to review your application and see how we can help you!

Answer the following questions and click "Submit"

First Name *

Last Name *

Address *

City *

State *

Postal code *

Email *

Phone *

Are you coachable and willing to implement what’s recommended? *

Yes

Do you identify as a fast action taker? *

Yes

Would you be willing to take the playbook of developing referral streams and create new relationships in the medical community? *

Yes

Do you have the belief that we’re meant to treat the whole patient and not just their teeth? *

Yes

Are you willing to talk to your patients about their sleep and well being? *

Yes

Do you have a team member to manage this program as a Sleep Program Specialist? (Our clients with the best success rate have a designated member of their existing team step up and help implement this program into success.) *

Yes

Are you willing to build a long-term growth strategy with your practice that can help you hit your financial freedom goal? *

Yes

Disclaimer - This presentation will give you actionable steps to scaling a successful coaching or consulting business.

Results are not guaranteed or typical. In fact, a lot of hard work is involved. At the end of the training, an opportunity will be offered to learn more.

Terms & Conditions

5700 N Harbor City Blvd Suite 270

Melbourne, FL 32940