My practice/I need(s)

SELECT YOUR OPTION

HPP High Value Group Coaching
  • Two (2) Sixty (60) minute group coaching calls per month with Dr. Justin Bhullar and like minded dentists/practice owners (Max 10 participants per call for quality assurance)
  • Access to our facebook page
  • 1 private 30 minute coaching call with Dr. Justin (in addition to our free 30 minute offer we currently have in place. Total 1hr))

OR

HPP 1-1 VIP Coaching
  • Two (2) thirty (30) minute monthly coaching calls with Dr. Justin
  • One (1) fifteen (15) minute emergency call per month
  • Anytime access to Dr. Justin via email, private group chat, and text
  • Access to our facebook page
  • 5hr live coaching day 1-1 with Dr. Justin (Tampa Florida)

Bonuses: VIP coaching members receive these plus more……

  • Hard cover copy of my new Book. High Performance Practice: Management, marketing, and Leadership
  • Internal Referral System
  • Google Review Booster
  • 50 done for you Facebook Posts
  • 5 Direct Mail Campaigns that work
  • Hygiene Tracker
  • Treatment acceptance tracker
  • Online Masters Class (Increase New Patients without spending a dollar on marketing)
  • Office Policy Manual
  • Operations Manual
  • The real solution to no shows and cancelations
  • Top reasons why associates leave and how to prevent turn over
  • Dream Team hiring system (Learn how to attract the right people, minimize micromanagement and turnover)
Upgrade option 1 or 2 above
  • 1 Full Day of Live Training At Your Practice For You and Your Team
  • Dr Justin and His Team Come To You
  • All Travel and Related Expenses Included

***You let us know what your needs are and we will customize a training plan for you and your team

THIS SECTION IS INVITE ONLY: HPP VIP MASTERMIND GROUP

Requirement: INVITE ONLY. MEMBERS OF GROUPS 1 and 2 ABOVE MAY BE INVITED TO JOIN THIS GROUP BASED ON THEIR PERFORMANCE AND RESULTS

What is included:

  • Two (2) thirty (30) minute monthly coaching calls with Dr. Justin
  • Four (4) fifteen (15) minute emergency calls per month
  • Anytime Access to Dr. Justin via email, private group chat, and text
  • Access to our facebook page
  • Access to our intellectual property (manuals, systems, and documents used internally at our dental offices)
  • 5hr live coaching day 1-1 with Dr. Justin (Tampa Florida)
  • Attendance to live quarterly mastermind sessions in Tampa (2 full days per quarter). Bring a team member and/or spouse at no additional charge
  • 1 on site training for you and your team (Dr. Justin comes to you)
  • Comprehensive marketing plan and discounted pricing with our partners (these are people we use in our dental offices)

Bonuses VIP Mastermind members receive these plus more……

  • Hard cover copy of my new Book. High Performance Practice: Management, marketing, and Leadership
  • Internal Referral System
  • Google Review Booster
  • 50 done for you Facebook Posts
  • 5 Direct Mail Campaigns that work
  • Hygiene Tracker
  • Treatment acceptance tracker
  • Online Masters Class (Increase New Patients without spending a dollar on marketing)
  • Office Policy Manual
  • Operations Manual
  • The real solution to no shows and cancelations
  • Top reasons why associates leave and how to prevent turn over
  • Dream Team hiring system (Learn how to attract the right people, minimize micromanagement and turnover)

Second Bonus: (Available only to our VIP Coaching and Invite Only Mastermind Members)

  • Full access to our Premiere Online Business Training Platform for Dental Practice Owners (DentalBusinessMentor.com)

Please Chose Your Preferred Coaching Option Below (2 to chose from):

HPP High Value Group Coaching: $199/month or $1999 annually (SAVE: $389 when paid as a lump sum annual payment)

  • Two (2) Sixty (60) minute group coaching calls per month with Dr. Justin Bhullar and like minded dentists/practice owners (Max 10 participants per call for quality assurance)
  • Access to our facebook page
  • 1 private 30 minute coaching call with Dr. Justin (in addition to our free 30 minute offer we currently have in place. Total 1hr))

OR

HPP 1-1 VIP Coaching: $1500/month or $15,000 annually (SAVE: $3000 when paid as lump sum annual payment)

  • Two (2) thirty (30) minute monthly coaching calls with Dr. Justin
  • One (1) fifteen (15) minute emergency call per month
  • Anytime access to Dr. Justin via email, private group chat, and text
  • Access to our facebook page
  • 5hr live coaching day 1-1 with Dr. Justin (Tampa Florida)

Bonuses: VIP coaching members receive these plus more……

  • Hard cover copy of my new Book. High Performance Practice: Management, marketing, and Leadership
  • Internal Referral System
  • Google Review Booster
  • 50 done for you Facebook Posts
  • 5 Direct Mail Campaigns that work
  • Hygiene Tracker
  • Treatment acceptance tracker
  • Online Masters Class (Increase New Patients without spending a dollar on marketing)
  • Office Policy Manual
  • Operations Manual
  • The real solution to no shows and cancelations
  • Top reasons why associates leave and how to prevent turn over
  • Dream Team hiring system (Learn how to attract the right people, minimize micromanagement and turnover)

Upgrade option 1 or 2 above: In house training $5000

  • 1 Full Day of Live Training At Your Practice For You and Your Team
  • Dr Justin and His Team Come To You
  • All Travel and Related Expenses Included

***You let us know what your needs are and we will customize a training plan for you and your team

***All FEES ARE IN USD

IMPORTANT: If you prefer to speak to Dr. Justin prior to filling out an application form please set up a time to utilize your Free 30 Min Call with Dr. Justin Today

**(Please note ALL information is kept completely Confidential)**


Less than $100,000$100,000-$250,000$250,000-$500,000$500,000-$750,000$750,000-$1,000,00$1,000,00+


40+30-4020-3020-10less than 10

Being completely honest with yourself, do you know you are working a little harder than you would like to?

YesNo




(attach additional sheet of information if necessary)

Number of hours you work, average week

No of hours you'd prefer to work, average work

% of work-time you rank as productive

No. of hours per week you work "on" vs. "in" your business

No. of Weeks of vacation taken: 2016:

2017:

2018:

No. of Weeks of vacation you'd prefer taking:

High Performance Practice Coaching and Mastermind Program(s)

Participation Agreement Terms and Conditions

I understand and commit to working with total integrity, honesty, and confidentiality with other members of this Special Coaching Group of like-minded high achievers. I understand and agree that, by completing and signing this enrollment form, if accepted into a program, I will have my credit card(s) charged for the participation rates described for my selected program (a member of the HPP team will contact you to collect this cc information or discuss your preferred method of payment. Options include: a) credit card b) bank draft or certified cheque available only to those choosing the lump sum option). I agree by signing this agreement for products and/or services stated herein, I am solely and completely responsible for any indebtedness incurred, as a result of my entering into this agreement with High Performance Practice LLC and therefore I am responsible for the complete and total amount due to High Performance Practice LLC.

I understand and agree that by completing and signing this enrollment form that I am committing to a full twelve (12) month period in the program from the date of official acceptance (you will be notified via phone and email of this exact date). I further understand and agree that, if, for any reason, I choose to remove or cancel myself out of the program I must give 30 days prior written notice and return any and all intellectual property distributed to me. Further, I fully understand the program details and acknowledge that Dr. Justin Bhullar or High Performance Practice LLC or any representative neither promises or guarantees any verbal or written results with relation to myself or my business and that all actions and results are up to me. I therefore hold harmless Dr. Justin Bhullar and High Performance Practice LLC, or any representative from any/all claims that may arise from the participation in this program. High Performance Practice LLC as the sole discretion to terminate this agreement and remove any participant from continuing in the program at any time if the participant is disrupting the program or is difficult to work with, becomes difficult to work with, or ceases to follow any of the coaching program guidelines. I understand that as a coaching member I will be asked to sign a confidentiality and non-compete document that protects the intellectual property of high performance practice LLC from being reproduced or sold to any third parties without the expressed written consent of High Performance Practice LLC.

Print Name:

Sign:

Date:

Contact : drjustin@highperformancepractice.com
Cassie Forgo, Executive Assistant : cassie@highperformancepractice.com

Toll Free: 1-800-464-9077

Contact Us

What do you need most to take your practice to the next level?

More New Patients

More Revenue/Profit

More Free Time

More High Value Procedures

More HR Support

All of the above