Ophthalmology Management

Published monthly

Issues per year: 12

Ophthalmology Management is BCI's fastest growing publication designed to give practicing ophthalmologists the business savvy they need in the areas of finance, contract negotiation and practice management. A monthly advisor guiding MDs and practice administrators toward a more successful practice.

Fill out the form below to receive your FREE subscription!

Business / Industry
First Name
Last Name
Job Title
Company Name
Department / Mail Stop
Street Address
City
Country	Available to United States residents only
State / Province / District
ZIP / Postal Code
Email Address
Business Telephone	ext
Business Fax
Mobile Telephone

By providing your phone and fax number you may receive only publication/customer service information via phone or fax.

QUALIFICATION FORM

Incomplete forms will not be processed. A complimentary subscription to Ophthalmology Management will be sent to those applicants who qualify. The publisher reserves the right to limit the number of subscriptions accepted.

1.	I wish to receive Ophthalmology Management magazine FREE of charge.

Yes!

NOTE: In order to be considered for a subscription to Ophthalmology Management, you MUST select Yes above. If you do not select Yes, you will not receive a complimentary subscription to Ophthalmology Management.

2.	Please check the ONE category that best describes your business/professional activity:

Solo Practice

Group Practice or Partnership

Employed by Corporation

Affiliated with Management Company

Practice Administrator

Other (please specify)

3.	Do you dispense?

Eyewear

Contact Lenses

None of the above

4.	Do you provide:

Cataract surgery

Refractive surgery

None of the Above

5.	In order to verify your request for this publication, without the availability of a signature, our audit bureau requires that we ask a personal identifying question. This information is used solely for the purpose of auditing your request. In what state/province were you born?

If you selected Outside of U.S. or Canada, please provide an alternative:

6.	May we contact you via e-mail?

Yes

7.	May we contact you via e-mail on behalf of ophthalmic industry suppliers on topics pertinent to you?

Yes

8.	May we contact you via fax?

Yes

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