AlisaWebs.com
Tel & Fax: 703 360-9266
Email: alisa@alisawebs.com
Medical Practice Questionnaire
If you would like to
add some other subjects, please do so.
Home Page:
Name of practice as
you would like it on your website.
Domain name you want:
Add a small paragraph
describing your practice, what you do, the services you provide, how many
offices you have. (This could already be on one of your brochures).
Specialties:
Provide a listing
of specialties you provide, including special treatments and new procedures.
Contact:
Email contact
Addresses, phone and
fax numbers.
Office hours
Contact us:
Many practices use
this feature for follow-up contact and communication with patients. The
automatic e-mail is forwarded to the designated office administrator or doctor,
who then has an opportunity to correspond with patients at their convenience.
(Do you want this feature?)
Directions:
Please give
directions, parking information and public transportation if applicable.
Patient Services:
These pages introduce the viewer to your office staff, hours of
operation, facility, special equipment, billing procedures, insurance
affiliations, hospital affiliations, scheduling policies, etc.
What is your policy
about?
1. Appointments
2. Fist time patient
(how early should they arrive? what do they need)?
3. Prescriptions and
refills
4. Emergencies and
hospitalization
5. Your Hospitals
affiliation
6. Billing and
Co-payments, what kind of payment do you accept.
7. Insurance
information: Do you file the claim with the insurance?
Which insurance do you accept or do not
accept?
8. FAQ: make a list of
frequently asked questions and answers.
9. Patient Education
Resource:
Would you like to add links for your
patients to get information on various subjects?
10. Office Physician
Schedules
11. Surgery Physician
Schedule
About the Doctors:
Please include here an
introductory paragraph on each doctor.
Credentials and
biographies:
Biographies,
along with photos, certification listings, special training, honors, published
articles, etc
Online Forms:
Patients
can access office forms online such as New Patient Forms, Insurance Forms,
Pre-Treatment Forms and Post-Op Forms. Please have copies of all the forms you
would like to include.
About the Staff:
If you would like the
staff or the nurse practitioner to be mentioned.
I need the names and
position of each one plus anything you would like to have written about them.
Would you like a
“Testimonials” page?
Please include
testimonials.
Pictures:
Gather all the
pictures you want on your website with a description of each picture.
If yes please include
text
To give your site visibility on the
major search engines and on the internet, I use something called "meta
tags," which are key words that best represent your business.
The goal is to target keywords that
will attract someone interested in your services.
I develop your Web site with the
advanced search optimization needed for the search engines to index your site.
Your site can be optimized by doctor name, practice name, procedure and
geographic area.
Please write down some words that best
represent your practice.
Think about what, someone looking
for your services, would enter in a search engine.
E-mail addresses:
Your site includes email addresses for doctors and key staff
members that can be accessed from any computer with an Internet connection.
Please let me know how
many e-mail addresses you would like to have.
Please mention if you
need another kind of contact form?
For example:
A survey form
A feedback form
A support form
Others
Any
brochures, business cards, and any other subject you would like to include on
your website.
Please add any other
subject you would like on your website.
Email the completed
file to alisa@alisawebs.com
Thank you for
considering alisawebs.com
I will do my best to
get you online.
Alisa Lofgren