Practice Loan Quote Form

Fill out the quote form below to get matched with practice lenders for your profession. If you go through one of our partner banks and we get credit for the referral, we'll also throw in a $500 cash bonus paid by us within 30 business days of closing. (terms apply).

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Basic Info – Step 1 of 4

What practice financing product would you like a quote for? *

• Acquisition
• Startup
• Real Estate
• Project

What's Your Occupation? *SelectDentistDental SpecialistPhysicianOptometristVeterinarianVeterinary SpecialistOTHER

Please Specify Occupation *

What's Your Specialty

Next

Are you finished with training? *

• Yes
• No

What stage of training are you in?

• Still in School
• Residency
• Fellowship

What's your program end date?

Ex: June 2024, 6/1/2023, etc.

Employer Name *

Name of Your School

Ex: NYU Dental, UCLA Med School, etc.

Current Income *

Do you know how much revenue you produce annually?

• Yes
• No

Please list annual revenue produced

How long have you had your current job status? *SelectLess than 30 days1 month to 1 year1.01 to 3 yearsMore than 3 years

(Student, owner, associate, etc.)

Next

What stage are you at in the practice financing process? *SelectGathering informationSeeking preapprovalActively searching for practicesMaking offer(s), need financing soonMaking offer(s), need financing immediatelyAlready own, seeking practice refinance options

How soon do you hope to secure practice financing? *SelectNow1 to 3 months4 to 6 months7 to 12 monthsMore than 12 months

What size practice loan are you looking for? *SelectLess than $200,000$200,000 to $400,000$400,001 to $600,000$600,001 to $800,000$800,001 to $1 millionMore than $1 million

How much cash savings do you have available for a down payment? *

Ex: $10,000, $50,000, etc.

How many banks would you like quotes from?Select1234 or more

Have you had any bankruptcies or short sales in the past 7 years? *

• Yes
• No

Please list bankruptcy or short sale details

Do you own all or part of a practice currently? *

• Yes
• No

Do you currently have a loan outstanding on a practice you own?

• Yes
• No

Please list details of current practice loan

Just list what you can off the top of your head

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Name *

First

Last

Email *

City /metro area where you'd like to practice *

You can put in multiple locations or a broad metro area if you're unsure

State where you'd like to practice *

Citizenship Status

• US Citizen
• Permanent Resident
• Foreign Citizen

How do you want practice loan bankers to send your quotes / followup if additional info is needed? *

• Email
• Text Message
• Phone Call

Check all that apply

Your Phone Number

Would You Like to Add Any Additional Details?

• Yes
• No

Please share what you'd like to add

Submit