Practice Opportunity Form

Outline of the Process

The form below was designed to make practice opportunity information information available to dental and dental hygiene students who are in the process of identifying various practice options.

The form has been designed with the intention of quickly entering the information onto a computerized file. You have two options for submitting Practice Opportunity information: fill out the on-line form below which will be sent as an e-mail to Ann Marie Corry for processing or print libraryformPDF, fill out and mail to UMKC.  Please include as much relevant information as possible within the space limitations. Potential buyers or associates have a high need for complete and accurate information. However, due to limitations of the computer file, photographs, Chamber of Commerce materials of other brochures cannot be accepted. Please retain for distribution to individual inquiries. 

When the completed form is received by the Career Opportunity Center, the information will be placed onto a computerized file. This file is available to all library patrons (dental and dental hygiene students, graduate students, alumni and others). In order to keep the Practice Opportunity File current, we will contact you in approximately three months to determine whether or not the opportunity is still available.

If you have any questions about the process or completion of the form, please contact:

Ann Marie Corry, Librarian
UMKC School of Dentistry Library
650 East 25th Street
Kansas City , MO 64108-2795
816-235-2030
FAX 816-235-6540
E-Mail: corrya@umkc.edu

UMKC SCHOOL OF DENTISTRY
PRACTICE OPPORTUNITY FORM

LOCATION
Opportunity Location
Dentist
Other Contact Person
Street Address
City
State
Zip
Phone: Office Home
Fax E-mail

TYPE OF PRACTICE OPPORTUNITY

Practice Purchase Dental hygienist wanted
Associate Wanted Specialty Practice Available
Associate with possible buy in Position Available
Community looking for a dentist Office space or equipment for sale
Other

PRACTICE CHARACTERISTICS
Size: Active Patients  
Patient Visits /month
Practice Emphasis
Office Operation: Days/Week  
Hours/Day
Physical Characteristics: (space/equipment available/special features)

General Terms of the Practice Opportunity: (cost, conditions, etc.)

AVAILABILITY OF OPPORTUNITY

Immediately Month/Year
Other

GEOGRAPHIC CHARACTERISTICS
Community Size
Large Metropolitan (100,000+)
Medium Metropolitan (20,000 - 100,000)
Small Metropolitan (6,000 - 19,000)
Rural (5,000 or less)

Economy
Metropolitan
Industrial
Industrial/Agricultural
Agricultural
Other

After you click on the submit button, this information will be forwarded to Ann Marie Corry via e-mail. If you need to change information after it has been submitted using this on-line form, do not re-submit the form - e-mail the changes to Ann Marie.