The MD Collaborators

The MD Collaborators (TMC) is dedicated to preserving, supporting, and growing the independent practice with matching highly qualified healthcare providers.

TMC know how challenging it is to launch your business practice without an affordable physician willing to support your entrepreneurial endeavors. TMC have physicians licensed in several states. We will assist in locating a supervising/collaborating physician in your state that meets your requirements.

Complete the request form below for more information.

Name *

Email *

Home Address *

Phone *

Business Name (if applicable)

Business Website (if applicable)

Business Number (if applicable)

State(s) in which you are seeking physician collaboration or medical director? *

State(s) in which you are licensed and conducting business? *

What is your profession (APRN, RN, LPN, etc.)? *

What is your specialty (Psychiatry, Family, IV Hydration, Lab Services, Maternity, etc.)? *

Please provide a detailed description of the type of services provided in your business. *

Are you prescribing or treating with controlled substances in your business? *

YesNo

If yes, What type of controlled substances will you prescribe?

Do you have malpractice insurance? *

What is your monthly budget for a collaborative physician or medical director? Please be realistic for your location and responsibilities required for the physician as per state laws. *

$400 - $500$500 - $750$750 - $1000$1000 - $1500

Does your state require the physician to live in the same state/city you are practicing in? We cannot advise you on this. *

Do you have any additional questions or comments?

I agree to be contacted by a representative of The MD Collaborators.

Signature *

Date *