Invisible Leak Audit™ — Practice Intake Form

Thank you for purchasing the Invisible Leak Audit™. This short intake form (approximately 10 minutes) helps Lourdes tailor your audit to your specific practice context. Your personalised report will be delivered within 48 hours of submission.

What We Need From You

• Your name and work email address
• Practice type (medical, veterinary, or other healthcare)
• Practice size (number of providers)
• Your current EHR or practice management system
• Estimated annual revenue range
• Your top 2–3 revenue or operational concerns

Privacy Notice

Do not include any patient names, IDs, or protected health information (PHI) in this form. This intake is HIPAA-safe and designed to collect only practice-level operational context.

What Happens After You Submit

1. Lourdes reviews your intake and practice profile
2. Deep-dive audit across 6 revenue leak categories
3. Personalised report delivered to your inbox within 48 hours
4. Optional 30-minute debrief call to walk through findings

Questions?

Email lourdes@eunoiaconsultingco.com or visit eunoiaconsultingco.com/invisible-leak-audit to learn more about the audit.