Create your "Get to Know Your Doctor" Audio Business Card master, on-line!
Fill out the script form, and we'll create your "story." After you've approved the script, we send it to studio! The audio business card on CD promotes the doctor's skill and training in a format that can be used in the office, or on the patient's drive home. Each personalized product is a masterpiece that doctors can be very proud of. Scripts will be sent to studio once payment clears. All CD's professionally labeled.
Express yourself, don't feel limited by the form!  This is YOUR story.  When finished, hit the SUBMIT button.  Once you've finalized payment, we'll get to work on your draft script!
Name of Clinic:
Your Full Name:
Parents’ Names:
Birth Month and Year:
Years in current state:
City where you are practicing and when you started practicing there:
Year of Graduation from Chiropractic College:
Name and Location of Chiropractic School:
Name by which your patients call you, including pronunciation:
(example: "Dr. Martin" pronounced "Dr. Mar-teen"; or "Dr. Joe Degardo" who prefers to be called "Dr. Joe")
Other chiropractors in your family?
(If so, please elaborate)
Born where? Grew up where? Lived where?
Went to high school where? Special honors?
(valedictorian, salutatorian, State Champion debater, etc.)
Attended College where? Degree(s)? Special honors?
(valedictorian, salutatorian, PBK, All American, etc.)
Prior Careers, Experience, and Degrees:
(prior to becoming a D.C.)
Church/Civic Organizations: (past or present)
Local or National Service Awards?
Leadership Roles:
(note current or past)
Hobbies:
(athletics, music, photography, etc)
Distinctions in your Hobbies?
(Ran several marathons, black belt in karate [warning: If you list your purple belt, you may be setting yourself up for an upgraded CD should you progress!], first chair in the orchestra, etc.)
Graduate Honors:
(Salutatorian, Valedictorian, Cum Laude, Magna Cum Laude, Summa Cum Laude)?
Professional Publications & Honors:
List any special honors, awards, publications in professional journals, etc. Ex.: FICC? PhC? Chiropractor of the Year? Publication in JOURNAL NAME in YEAR?
List ONE area of special interest:
(Pediatrics, Geriatrics, Sports injuries, etc.)
Post-Graduate Training:
(List certifications, additional licenses, additional degrees, fellowships, diplomates, etc. Be sure to name the licensing board that awarded your degree, such as “Am. Chiropractic Board of Sports Physicians for a C.C.S.P.)
Professional memberships:
(ICA, ACA, State assn, etc.)
What is your PURPOSE as a chiropractor?
i.e. please write an inspiring statement (up to 30 words) of your goal and mission in practice:
Your Office Phone #: