CAP Request

Famous Quotes

" We are very happy with PTC. "

Leandra Lynch MD




Physicians Total Care
5415 S. 125th Avenue
Suite 205
Tulsa, Oklahoma 74146


918.254.6182 fax



To request a customized analysis of your practice and the viability of point-of-care dispensing in your environment, please fill out and submit this form. "Please use the Tab key to progress between fields. Pressing enter will submit the form immediately."

 Clinic Contact Information
Clinic Name:
Contact Person:
Contact Title:
Clinic Address:
Phone Number:
Fax Number:
email Address:


Clinic Statistics
# of Doctors:
# of separate sites:
# Patients per doctor per day:
% patients with no prescription:
% patients with 1 prescription:
% patients with 2 or more prescriptions:
Average number of refills per prescription:
% Cash & Carry
 % Private Insurance
 % Worker's Compensation
 % Medicare
 % Others
List Clinic Specialties:
10 most common drugs w/ strength and count:
6 most common 3rd party payors with percentage of patients with each:
Where did you hear of PTC:

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What is the earning potential in my practice?


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