Printable Forms and Useful Information

The following forms and information may be downloaded in Adobe Acrobat Reader. If you don't have Adobe, click here for a FREE download.

Prepared Practice Program - Free!

The Prepared Practice Program is offered as a free service to owners of practices who want to ensure, in the event of their sudden death or incapacitation, the best outcome for their family, their patients, and their staff. A description of the program, instructions, and required forms are included in this kit.

Confidentiality Agreement

If you are interested in receiving more information about practice purchase opportunities, we will need your promise of non-disclosure. This entails no cost or obligation other than your confidentiality. Please print this form, complete it, and mail or fax it to us.

Purchaser and Associate Application

To learn about the services ADS South offers prospective purchasers and associates, print this form. If a service is of value to you, complete the form and mail or fax it to us.

Curriculum Vitae

For clients needing a curriculum vitae for financing or other purposes, print this form and mail or fax it to us.

Personal Financial Statement

If you need a financial statement for financing or other purposes, print this form and mail or fax it to us.

HIPAA Business Associate Agreement

This form helps you comply with HIPAA requirements concerning confidentiality of patient information. It allows us to access any pertinent information we may need in appraising, selling, or arranging an associate for your practice.

Sales Consulting Agreement

This form sets forth the terms and conditions for a seller to engage ADS South in the sale of their practice. Print this form, complete it, and mail or fax it to us.

Practice Appraisal Application

This application explains what information and documentation is needed to perform a practice analysis and evaluation. Print this form, complete it and mail or fax it to us.

Equity Development Plan

This download provides a simple explanation of The Equity Development Plan, an extremely safe and profitable alternative to buy-ins and partnerships. This is very important information for practice owners and associates alike.

POEM

A Poem by W.H. Murray from the The Scottish Himalayan Expedition.