Greetings from Physician Reputation Repair®
EXCELLENT REFERENCES - 100 percent U.S. Technical Support!  We at Physician Reputation Repair® are committed to protecting our physicians and their practices on the Internet. Today, patients use the Internet to research physicians prior to booking consult for treatment or surgery. If negative reviews about you are visible on the Internet, then these are definitely affecting your practice's income by deterring future patients and by defaming your reputation as a physician. If not addressed, just ONE bad review or posting about your practice will cost you thousands upon thousands of dollars in lost revenue. In many cases, bad reviews may even cause a practice to close it's doors. To  request information about our services and to receive a complimentary and comprehensive synopsis of YOUR on-line reputation, simply complete the simple form below.  Read additional information HERE
To receive your complimentary consultation, please tell us who is submitting this form
PLEASE NOTE: You MUST be the Physician, Clinic Administrator and/or Practice Manager to complete and submit this form.
PHYSICIAN PRACTICE INFORMATION
Physician FULL Name
Practice Manager FULL Name
Specialty/Discipline
Other/additional
Board certification(s)
Board certification date(s)
E-mail address
E-mail address reconfirm
Practice Address
City
State
ZIP
Practice Telephone
Example: (area code) 555-1212
Cellular Telephone
(HIGHLY recommended if you wish to be contacted PRIVATELY about our services)
FAX
Practice Web site(s)

LOCATION OF MALICIOUS POSTINGS
If you already know where some of the malicious postings about you or your practice are located, then please enter the URLs (Internet addresses) where these are located. Thank you.
For your privacy, this transmission is secure and protected. All IP addresses are logged to prevent system abuse

              

Thank you for choosing Physician Reputation Repair®