Practice Valuation Fee Quote Questionnaire

First: Please provide your contact information. We do not share your private information to other companies. See our Privacy Statement for details of our policy.

(if different than Doctor's name)
Check all that apply
Next: Please complete each item below for our professional valuation affiliates. We will prepare a valuation quote for you. Berning & Affiliates is acting solely in an administrative capacity.
(i.e. selling the practice, forming a partnership, buy-sell agreement between co-owners, gifting, divorce, etc.)
Full Time (3+ Days)