RESOURCES
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Podcast

#91: Why Having An Attorney Is Crucial For Your Medical Practice With Sarah Shikman

Description

Cameron Hemphill hosts the “Medical Millionaire” podcast, featuring Sarah Shikman from Lengia Law. Sarah discusses her journey from opening her first esthetics practice in 2014 to founding Lengia Law, which provides legal solutions for healthcare and healthcare tech companies. She emphasizes the importance of proper legal structure, contracts, and compliance to avoid costly issues. Sarah highlights their membership model, offering discounted hours and access to over 100 legal templates. She also mentions their book, “Med Spa Confidential,” which provides practical advice for starting and scaling a practice. Lengia Law covers all 50 states and offers online appointment booking and pricing transparency.

Transcript

This is medical millionaire the podcast, helping your Med Spa increase in status, visibility and profitability. Join your host as he dispels myths, shares trends and gives you actionable steps today that will take your medical practice to the next level. Here’s your host, expert marketer and founder of growth 99 Cameron Hemphill,
hey everybody. Hope you guys are having a wonderful week. Cameron Hemphill, here your host for medical millionaire. Hey, first off, thank you so much for taking the time to tune into the podcast. Our goal is to give incredible value and insight into the medical spa market. So if you’re an injector, you’re looking to open up a practice, take your practice to the next level. We want to help you throughout that journey. So we have a great friend. We have a fine lady that is in the industry, servicing everyone from a medical spa owner to just the world of everything esthetics. I want to welcome Sarah schickman with lengia Law, and she is a world class legal solution provider and hydration business, dental practices, everything healthcare and even healthcare tech companies. Is that right?
Yeah, definitely nice. Nice to be here Cameron. And thank you so much for the warm welcome. Yeah, we help all kinds of healthcare companies and healthcare tech companies, lots of startups and lots more mature companies as well. So
cool. I mean, I took the time to, you know, obviously, do as much research as I possibly could. I was on your guys’s website over the past few days. And I love that you have this specific niche, because, you know, the industry and the specialty needs it so much. I think that you know, when you’re looking to get into this space, right, there’s been a ton of new practices open. And I think you know, your service is so much needed. And so, you know, talk to us about why this industry, why this space? What gives you the passion and the desire to help service this vertical? Yeah,
I think it’s a really exciting part of healthcare. And having been in it since about 2014 when my husband and I were opening our first esthetics practice, it was just a field that I think really has was in its infancy then and now is in this really big growth phase, and and I see a lot of people who are entering it, who are are first time entrepreneurs, and I’ve always loved helping people and working with entrepreneurs and being an entrepreneur myself. I just, it’s, it’s really a wonderful thing to be able to help people start their own business, and then, and then eventually, help them sell their business, or help them buy a piece of equipment, or help them make their first big hire. It’s just, it’s just fun. I
love it. So, so you 2014 is when you guys started?
Yeah, so we started in Columbus, Ohio. The practice is called Jubilee esthetics, and it was literally one room practice at the time. It was an old decrepid building downtown Columbus, really one of the few occupied buildings downtown. The Botox rep was actually afraid of going inside, and called her manager when we wanted to have a meeting with her. And she said to her manager, I don’t know, I’ll call you after the meeting, just make sure I’m still alive after I go into this place. I don’t know who these people are.
Oh my gosh, so I mean, but, and it grew from there, right? I think it’s, it’s, it’s interesting, like, I interview a lot of people on the podcast, and we have so much similarity when it comes to the story of, like, how we got in, how it started, and then, just like, learning, you know, failing learning, you know, figuring out exactly, like, how to pivot when we need to. And over those years, you’ve obviously had a tremendous amount of success. You’ve learned a lot, and all the way to the point where you said, hey, you know what, I’m gonna, I’m gonna open up this firm, you know, to focus on this, this area of expertise, in this vertical, because you you’ve know it like first time you’ve, you’ve done it right. And so I think that brings a lot of value into the marketplace in terms of, you know, you’re not just coming in here in the sense of, like, Hey, I like this industry, and I’m going to focus on this space, but you, you’ve, you’ve lived it, you’ve breathed it, you’ve, you’ve had the blood, sweat and tears,
yeah, definitely. I mean, I went from literally, you know, opening a botox account with Allergan to figuring out, like, what is a unit of Botox? And trying to Google that and understand to really, you know, figuring out Instagram marketing, and figuring out that it’s complicated and it’s not something that it’s best for me to do day to day myself. So yeah, a lot of these things I learned just from the ground up myself. But also through opening lots of vocations and helping people, I’ve just always enjoyed like helping people build things. It’s been my passion in life. And when I thought about opening this firm, I thought it would be awesome to be able to help a bunch of people at once, and that’s what
we’re doing. Very cool, very cool. Well, I mean, you know, guys like me appreciate, appreciate that so much. And I think it’s, I think it’s just great, like, I mean, I as I look at the website, right? And just for the audience, you can go to the, go to her website. Do you want to spell it out for him? I’m
sure it’s www, dot lynch law.com, which is L, E, N, G, E, A, l, a, w.com,
awesome, awesome. Okay, cool. And I see that you’ve also, you guys have created you you have a book that’s on Amazon, yeah.
So I wrote a book about a year ago now with a doctor friend of mine who is amazing. Her name is Carol Clinton, and she sold her practice for a large sum of money. And I knew her from Columbus, Ohio, and she always wanted to write a book, and I’ve always wanted to write a book. And so we were like, Okay, let’s do this like there’s no time like the present. And so yeah, we wrote this book, and it’s sold 1000s of copies. We thought it was just going to be a book for our friends, but it’s turned out to be much more than that, and it’s been awesome. And unfortunately, Karen Carol just passed away. Actually, she she had ovarian cancer, so she, you know, she knew that she was battling something very, very serious, and wanted to give back. So we were under a big time crunch getting the book done, and we got it done. So yeah, it’s very special.
Well, geez, I’m so sorry to hear that. Thank you. I guess the positive is carrying on the legacy, right with with being able to give back, especially to the industry that that she serviced. So okay, 1000s of books sold. You can get it on Amazon. And so if somebody was to go acquire the book, what type of value would they get out of it?
The book has lots of examples and lessons and tips on how to really start your own practice for the first time, how to scale something from one room to multiple locations, how to find a location, how to do your first marketing, how to hire your first employee. So it’s really like a primer on how to start this kind of practice from the ground up. So yeah, lots, lots of good content and information there. But it’s called Med Spa, confidential, and, yeah, people buy it on Amazon.
Nice. Okay, cool. I’ll definitely have to check that out and and purchase it. So thank you so much for for taking the time to work so hard on that and put it out there. So okay, so somebody that would basically say, Hey, I’m going to go open up my my first medical esthetics practice. Maybe I’ve, you know, I’m a nurse practitioner. I’ve been injecting in a med spa for quite some time. And, hey, I’m kind of thinking about doing my my own thing. I kind of want to open up my practice, but, but I have it pretty good. Where I am right now, right? I we talked to a lot of people that are are in that realm, if you will, they’re happy, but maybe that there’s more to what they want to do. So is if that has to be a wonderful resource for somebody that is in that, in that, in those shoes, correct? Yeah,
definitely. It’s something. It’s a good book to buy when you’re just considering, like, what you want to do, and you maybe haven’t made up your mind, or you’re thinking about how much is it going to cost, and what, what is it going to take? And, you know, for whatever the book cost, I think under $30 it’s a great it’s a great resource for because people say it has 1000s of dollars worth of information.
I love it. Well, very cool. All right, well, you have a wonderful YouTube video on your your website. I took the time to go through it, and it really explains about, you know, exactly what you guys do, but I think you know from the audience perspective. You know at your firm, and I know that your founder, your Managing Partner, shoot, we follow you on Instagram. We follow you on Facebook, LinkedIn, we see that you’re out there and speaking a lot, you know. So talk to us more about about the firm and and how you guys help, you know, the people that are in the industry. Yeah. So
we are a team of 12 right now, and we are licensed in many states as attorneys. And what we do is we basically help people set up their initial legal structure. We advise people on what is the right legal structure that they need if they need an MSO. We create that we do the management services agreement, Medical Director contracts. People call us with scope of practice questions, and you. Employee questions, or employment questions, and then we also do a lot of acquisition. So we have both private equity clients who are looking to buy med spas, and we help them close the deals. And then we also have Med Spa clients who are selling their practices, and we help them find, you know, the best deal, basically for what they’re looking for, and then close the deal and do all the contracts for that. So lots of contracts come across our desks, and lots of calls with clients, just really walking people through, like beginning to end legally, what they need to be compliant. So that if there’s ever a investigation or an adverse event, and everything is buttoned up, and everything will go as smoothly as it possibly can.
Interesting. Okay, I had no idea that you were so heavily involved in the M and A, which is really neat. I think that the private equity conversation coming into this, into this space, and doing so much consolidation has been a hot topic over the past 18 months. We certainly have have seen that a lot of consolidation take place, and so that’s good to know. So really, anything from an MSO to helping with an exit strategy, helping with anything protection, employment agreement, stuff like that, is that right? Yeah,
asset purchases, partnership agreements, all kinds of, all kinds of things, practice sales, dealing with unhappy customers and and having them sign release agreements and stuff like that. So we’re kind of like, for a lot of our clients, we’re like their lawyer on call. So a lot of practices, let’s say that’s like a 10 person or less practice where there are 10 people involved or so usually they wouldn’t have a full time lawyer, and so we are like the lawyer on call, and we do that for hundreds of practices across the country. Very
cool. Okay, so it’s like an on demand membership type of engagement. Is that, is that right?
Yeah, you get a certain amount of hours allocated to you based on the membership type that you get. But yeah, it’s basically like you’re on demand lawyer. If you want to have a new contract, or you have a contract dispute or or something like that, you give us a call or send us a text, and you know, we’re right there. And we help, we help people figure out, like, sometimes, you know, it’s not really worth it to get into a fight or to hire a lawyer. And you know, we’re very transparent about that, having been like business owners ourselves. So someone calls us and they’re like, Oh, I’m fighting with my employee over $500 or them returning their scrubs or whatever. One of the things we like to mention to people is, you know, the amount you’re fighting for may not be worth you hiring a lawyer and just spending the time on it. So let’s think about that isn’t just better just to make this go away and just move on. So we try to be very practical with what we advise clients to
Yeah, I Yeah. It’s an interesting that you bring that up because, you know, I think that sometimes, you know, we can get, we can get tuned up in a conversation where, hey, maybe, maybe we’re just not getting along with an employee. Maybe it’s we’re not getting along with a vendor, a business partner. Maybe it was a purchase of equipment, maybe it’s a landlord type of arrangement, or whatever it is. And I think that, you know, conversations can get heated quickly and can kind of want, you know, to jump the gun. And so what you’re saying, in some cases, it could actually be more expensive, less less cost effective, if you will, to have an engagement versus work something out internally. Is that, is that fair to say?
Yeah, definitely. So many small disputes, it’s always better to try to work it out internally, just to try to, you know, put our pride aside and just work it out, you know. And I know this is probably unusual advice coming from someone who builds by the hour, but I really want people to get the value of legal services, and the value isn’t in perpetuating like petty disputes. The value is in creating value. And the only way you’re creating value is when you’re investing your people, investing in marketing, like growing your practice, as opposed to fueling some fire. Yeah,
yeah, I would agree with that. And then, well, said,
you know, just creating the whole value around it. I think a lot of times that, you know, and shoot, everybody’s guilty of it, right? I’m definitely one that’s guilty of it as well is, you know, we can kind of just get to get frustrated instead of say, hey, like, where should I focus my energy? And I totally agree with you. I think focusing your energy on the things that impact you the most is where you should focus, right? And so petty, small disputes, you know, I think they can be annoying, right, but, but also, you know, just understanding what the big picture is and the in the goal is, and just kind of move on. So if I hear you correctly, you know, it makes sense to really like, Hey, pick my battle. And make sure that I’m going to invest where you know wisely, correct,
yeah, definitely, definitely because, also because with people right, like people don’t may not remember, there’s a saying people may not remember you know what you said, but they will remember how you made them feel. So if you know, you could just make someone feel good and and settle the issue, maybe better than be really winning in that day, because it may not be productive, but sometimes you have to win right? Like in a non compete situation, if you’re the practice owner and you just don’t enforce your non competes, then people will walk all over you, so have to draw the line right? Or if you don’t have your people sign any contract, and you’re all best friends. Like, I think that’s awesome and terrible, because what happens is, people are they may be your best friend, but when it comes to money and business, like, a different side of people comes out. So it’s important to have strong contracts, and we try to make sure that our clients are protected.
That’s a great point. You know, I think a lot, a lot of ambition is in the world of entrepreneurship, and as this specialty has grown so much over the years, you see, you know, people making decisions quickly, right? Let’s, let’s hurry, let’s rush. Let’s open up a practice. Let’s we want to be in this location. And they sign a lot of agreements, and maybe they start generating revenue a year goes by two years, three years, wow, they’re, all of a sudden in the growth phase very quickly. We’ve, I’ve seen it happen, and maybe it’s time to do a contract review and make sure you have the right contracts in place. Because maybe you you did rush, because we were so excited, right to get into business, you know. So how often should someone really, like review their their contracts? Would you, would you suggest? I would probably
suggest once a year, or as soon as there’s a big change, like a new location opening, or a first key employee being hired, or your second key employee being hired. Because a lot of times when you’re a really tiny business and you’re the only employee or the only contractor, and maybe you have one person, it’s a different kind of environment than once you have 234, people, and the people start treating you a little bit differently too, because at first, when they’re the only one and you’re the only one, everyone is friends, and they think of you as someone who’s not, doesn’t have, like, deep pockets or something. They don’t think of you as different than them, because you sort of started together, and even though maybe they’re your employee and you’re their boss, but you’re sort of equal, but all of a sudden, if that same person sees you, and then you are growing, and you have 10 people now, and they’re just one of 10, the perception changes, and the people start to feel less fair, less lesson two, less less valued. And then people start wanting to go out on their own and do different things, which is fine, but contractually, you just need different things as soon as your practice grows, and it’s important to invest in them in before problems start, because once problems start, it’s much more expensive, unfortunately for everything right, like it’s that’s how healthcare is too. It’s like preventative care, preventative care for your business, is having all your legal contracts in place because people call us in the middle of an investigation. They’re like, Oh, today the pharmacy board came, the nursing board came, and the medical board came and they asked to see our charts. And I’m like, Well, what do they look like? Can you show me? Can you What did you do? And they’re like, Well, yeah, we opened our EMR and we showed them our charts. These are the 10 that we showed them. And then I see them like, Oh, my God, you know, we need to change everything. Like, I wish that you guys had hired us before this so we could make sure that you were doing good faith exams and, you know, so stuff like that.
Thank you for listening to medical millionaire. I wanted to take just a few short moments and tell you all about growth 99 University naturally, if you’re listening to medical millionaire, the success of your Med Spa is extremely important to you, and as it should be. And if you’re listening to medical millionaire, you are obviously looking for the best, most effective ways to take your Med Spa to the next level in both profit and customer success, enter growth 99 University ranging from online education courses all the way to the full suite of marketing and web services. Growth, 99 has your Med Spa covered. No matter the challenges that you’re facing, we are ready and able to help you achieve your next level in business, profit and freedom to inquire about all of our support services and products. Please visit growth 90 nine.com and while you’re there, click the university link and check out the companion course to this very podcast. Back to the show you.
That’s a great point. I you know, there’s a, I had a a mentor early on in my career, and he always said, you know, always get money when you don’t need it. And I can relate that to exactly what you just said. Because I was confused when he said, I said, Why would I need to get money if we Why would we Why would we raise money if we don’t need to raise money? And he said, because when you do need to raise money, it’s the hardest time to raise money, because, you know, you’re more vulnerable and you look less attractive, right? And so trying to relay that back to exactly what you said is, I think a lot of times, you know, we could reach out when it’s too late, instead of investing and making sure we’re set up correctly and have the right contracts and documentation so you’re prepared, right? So, so it’s not a matter of, you know, I’ve also heard this from from a lot of attorneys too. It’s not a matter of, if you get sued, it’s when, right? So, yeah, I agree. Talk to me about more about that.
Yeah, you know, it’s a numbers thing, right? I think everyone eventually has, like, some small or large issue. It just happens, right? Because, let’s say you see 1000 patients, even if you’re perfect, like, some of them will be upset, some of them will be unreasonable. Some of them may have a vascular occlusion, like, it just statistically, it’s going to happen, right? And so at that point it’s not, it’s not an if it’s, it’s a when, right? And then when it happens, it’s better to be prepared and to have all your documentation in place. Because what happens is, is, unfortunately, insurance tries to deny the claim because they’re saying, they say that you’re not properly set up, and that way you breached one of the covenants in the insurance contract, and then you don’t have, usually, with a lot of these board investigations, if you could say at least you were compliant and you were doing everything correctly, and if an adverse event happens, or if There was one lapse and one person didn’t have a good faith exam. It’s usually can be corrected, versus if you never did it, you have no documentation, and you’re basically just got caught. It’s a really different conversation, lots of hearings and meetings and license suspensions and begging for a second chance. And you never want to be in a position where you’re begging anyone for anything like that’s that’s terrible.
Yeah, you want to be structured. You want to be organized. And I think it’s challenging because, you know, we get into business, you know, open up a practice, and we continue to just march and run and grow and and I think that, you know, sometimes we we, we don’t take the time to invest in our practice, and so we’re always working in our practice, you know. And I hear it all the time, and I think, you know, if you get yourself, you know, caught in a situation where you don’t have your ducks in a row up front, it can definitely cost you more in the long run versus, I mean, look, hiring an attorney is not expensive. Having your ducks in a row is expensive, right? It’s not a, it’s a needed service. It’s, it’s a must have service. But I know that if you don’t, if you’re not in a position to be prepared, like, and if you, you know, get yourself in a jam, like, it’s going to be more expensive than getting set
up correctly. Yeah, for sure. And I know there are certain expenses, right, that translate much more directly into revenue. Like, people tell me, like, oh, I my revenue goal is, I don’t know, let’s say $100,000 I’m like, Okay, well, you know, how much of that, how much are you going to spend on marketing to get that 100,000 they’re like, oh, no, it’s going to be free. I’m like, no, no. Like, you have to you spend, let’s say, 10,000 and marketing and get, you know, 50 to 100,000 in revenue. We go, isn’t like that, right? We go. It’s not exciting. It’s not like, Oh, you’re going to spend 5000 and it’s going to turn into 50, right? But it’s more like, you spend 5000 and you sleep at night, which is worth a lot, and you don’t have to spend the 50 later. So it’s a, it’s a little bit of a different calculation, but it’s, it’s definitely worth it.
That’s a great point, you know, I and then this conversation has been fun. I there’s a there. I had another mentor in, you know, early on that said, you know, I’ve always over insured everything, you know, because just in life, you’re like, Okay, I got to get the car insurance. I got to get homeowners insurance. So I need to get maybe some life insurance when you start to have a family or whatever. And I think a lot of times we default to the cheapest solution, the cheapest plan, because you’re just going about this is just a necessary evil I don’t really want to pay for, I guess I have to, you know. But then when you really start reviewing things and start listening and reading and maybe following the wealthy and the people that have, you know, have had lots of success, like, you know, they say, Well, you know, in this example, you know, this. Gentleman always told me he over insured things because he had learned a hard lesson. And I took that advice. I’m like, you know, I’m gonna learn from you, and I can apply that, really, to what you guys are, you know, working on, in terms of, you know, take the time to invest in, let’s call it asset protection, right? Like, whether that’s whether that’s whether that’s yourself, your practice, your employees, or whoever like, I think it’s very important to take the time to to invest because if you’re going to work so hard, and I know that these practice owners and and, you know, injectors, work so hard, long hours, and sometimes even on the weekends, you know, it’s last thing you want to do is have it taken away from you, right?
Yeah, definitely. I think it’s, it’s easy to get it taken away and, and it’s, it’s just not worth it, and, and, you know, we’re, we are living here in this time where there’s so much opportunity and there’s so much room for growth, so it’s just making an investment and eventually thinking that it will pay off, right? Because eventually, as the practice grows, it becomes more and more valuable, and maybe you’ll sell it one day, and it definitely when you sell a practice, the buyers will ask you, like, have you had any legal issues? Have you had any investigations? How did they go? Have you had any employment issues? Are you set up correctly? And if you’re not, they’re just subtracting from the price that they’re buying your practice for.
Okay? So that’s a good point. I like that. So having good legal documentation, good structure, good technology, right? Good EMR systems, good charting. I shoot. I still hear people doing paper charting sometimes, which is becoming more rare, but I do still hear it, oh no, which scares me. But, you know, I’m not a practice owner. But no, I like that. You know, I work with skytail group, you know, on like we see him at shows, and we’ve done, you know, a couple things together in terms of sponsorships and stuff and and, you know, they talk about what can devalue a practice as well. And so I think that that brings up a good point is, is, you know, these private equity companies or buyers that are going to, you know, they’re going to do an exam on the practice, if you will, that will hurt the overall purchasing price. And so that actually brings up a great ROI point, you know, having, having the ability to invest in legal documentation and structure, and so you can actually, you know, improve the overall value of the practice. Yeah.
I mean, we recently were working with a practice buyer, and we were, you know, helping him do some due diligence. And when we asked this practice about past lawsuits and and any investigations they like, went dead silent and said, Well, you know we are, we are reevaluating whether we want to sell the practice at this moment. So you know that that was not a good outcome for for anyone. And you know we don’t want that. So I just think this is we go, is like something that you need, but even when people just want, like a one time consultation or some small package, I think that’s better than than not having it at all. And we all know, you know, you always just have to look out for the great days that are going to come, and some not so great days, and just be protected against them as much as you can be.
Yeah, I agree it’s and, you know, I’ve spent a lot of time on on your guys’s website, and I have to say, I look at a lot of websites. I’m guilty of looking at my computer all day long, I guess. But you have a great website. By the way, I don’t see a ton of websites that are, you know, like, amazing and just well structured. And I guess one of the things I really like about it is, I guess two things, you have a template area, and so it looks like you’ve set it up in such a way to where, you know, people that would really need your services, they could go to your website and find great templates, and, you know, in really communicate with you in terms of, maybe they just need a specialized agreement. Is that something that they could, they could you could help them with? Yeah.
So what we do is we have kind of two ways that people work with us, either through our memberships, where they, in essence, prepay for a certain number of hours at a discount and have access to our template library at different levels, or people can just buy a template. So if someone just wants the consent template for Botox or semi blue tide or whatever, we have that, but if they want customized documents and a more personalized approach. Just works better for practices that are just getting started, then people get one of our memberships. So we have many different ways that people can work with us, but those are two of the main ones. I
like it. I like it because, you know, I think that there’s times where it’s like, okay, I need a consent form because maybe I’m starting a new service, right? Like, semi blue tight is, is quite hot right now, and I think a lot of people are under the fire, but, you know, having so is that something that they could purchase, go put it into, like their EMR system or online booking system, and have it, have it automated. Is that? Is that kind of the idea behind that? Yeah, yeah, definitely, very cool. And so as you have these, you have memberships, right? I don’t, I don’t think it’s very common to see a law office have memberships or plans. But for like companies that that I’ve worked with, I’m in the, obviously, the technology space, that the audience knows that, but I see lots of plans, memberships, versions, you know, do you get the standard plan, the premium plan, you know, do you get the accelerator plan? What inspired you to create that?
Um, I think that I would love for people to think of we go as not a one time and done thing, but as someone who’s really by your side and is really part of your team and is available to you. And so I thought the membership way was a better way than just a straight retainer, and it’s a way for us to discount our hours and to give people access to templates. So for example, we have this membership called premium membership, and with that, you get all of our templates that are available, which is over 100 for free, and then you get a bunch of hours included as part of that. So it’s a little different than the typical law firm retainer model, but I think it’s great because it encourages more visits, in a way, and it’s the same thing for our esthetics clients. Like when people tell me they want to set up a membership program, I’m like, yes, absolutely. I think that’s amazing, and that’s what you should do. And actually, when we started the membership program at Julie esthetics, back in like 2014 or 2015 no one had memberships. We actually went to places like Massage Envy and other kind of competitors in different but similar industries, and saw what membership programs they had, and made a very simple membership program, and that improved retention and customer satisfaction so much. So I really advocate for memberships for my clients, and I think memberships are great for for the business itself as well. And they just, I don’t know it’s just, it’s a, I think it’s a little bit of a better relationship overall, having members as opposed to just having clients.
I agree I, and I was wondering if that had come from your esthetics days as maybe, like a rooted inspiration. Because when I saw that, I was like, Oh, wow, that’s really unique and really cool. How they lay it out. It’s very simple. It’s engaging, you know. And I think, like, when you’re engaging with a law office or an attorney, I think a lot of times it can be more confusing, you know, like it’s happened to me. There’s been times where I’ve left phone calls and I’m like, what just happened? I knew the agenda the phone call, but what just came out of that call? Right? There’s a lot of, you know, just legal jargon, and it gets, you know, complex and complicated in some of these advanced conversations. But, you know, I think that it’s laid out very nice. And I also agree we encourage, you know, our clients to have memberships. And I think that that’s cool that you you guys, have, you know, have you rolled that out in your obviously, your early days before memberships were there. And then, you know, brought it to the legal field as well. I think so many people can value from that. And, you know, memberships are really like, it’s, it’s kind of the way things are now, right? Like, yeah, you got
yourself manicures, for haircuts, for gym, you know, of course, for grocery, you know, delivery, I mean, Costco and Amazon, you know, have really revolutionized that too, right? You know, more so than than any of us even. So, yeah, I think memberships are, are awesome. I also, and this is a controversial thing, I’m a huge proponent of, like, pricing transparency, so you’ll see like, and also online appointment Booking and Scheduling, you know, which I’m sure you would agree with 100% you know, paper charts. Like people tell me they have paper charts. I’m like, we run a paperless office, and we are a law firm. So, you know, I can’t even imagine, like, paper charts, like, how, how, how inefficient that must be. But, yeah, I think having technology enabled processes is awesome. Like, I want people to be able to book an appointment with us through our website in five seconds. I want people to be able to sign up to our membership through our. Site in five seconds. Like, why not? What’s the downside that they’re going to know our prices, that our competitors will know our prices? Great, let them, no problem.
Yeah, yeah. I agree. I mean, I think just the flexibility, like tech enabled processes are so important, the ability to book online, because we’re so busy and and we just, we don’t want to be like sold. We want to be informed, right? So, you know, give us the information. We want to be educated on the process. We want to have the ability to talk to someone and and that goes for practice owners as well. And so a lot of times, shoot, I still hear, and we’ll see, you know, like, you don’t have online booking, the consumer very much wants that. And I think a lot of times it kind of throws like, Well, how do we manage it internally? Because our appointments are kind of complicated, you know, and I see practice owners that have a ton of velocity, like they are doing a ton of appointments, and others that maybe aren’t doing as much velocity, but maybe they’re more complex procedures. And one will have online booking, and one will not like the one that does a lot of velocity will have online booking. I’ve always thought that to be an interesting conversation point.
Yeah, definitely. I mean, people want to book their appointments up two in the morning whenever they’re thinking about this, right? Not on my schedule. So, and that’s the same thing for med spas too. So I think investing in that technology as a med spa service provider is a no brainer, and as a med spa I mean, it’s even more of a no brainer. I mean, it’s like, how can you compete? How, if you don’t have online appointment booking, how can you compete with someone who does
every time, every time. And you know, my I have, my wife is, you know, she’s, she likes to go and, you know, get her treatments done, right? And a lot of times she says, if they don’t have online booking, I kind of just pass up the website, which is interesting to hear, you know, from, from just her as a complete just, let’s call it consumer end user. Just pivoting a little bit. Do you cover all 50 states?
We do. So the way we work is our attorneys are licensed in many states, and when we don’t have an in state attorney who’s licensed in that state, we work with local council, so yes, effectively, we are able to cover all 50 states.
Awesome. Okay, well, very cool. Well, hey, I know you’re super busy. I know you, you know, you definitely build by the hour. Throw that little joke out there. No, but I really appreciate you taking the time and and, you know, coming in here and really helping, you know, the audience learn more about your firm, about you, like, like, you know, like you said, You’ve, you’ve been in the world of medical esthetics, been a practice owner. You’ve been in law for a long time, right? Since 2004 I think I read,
yes, it’s 2000 Well, I graduated law school in 2006 Yeah, so a long time. But thanks to Botox, which is has been good and bad. Like a lot of times, when I do consults on Zoom, I’m like, Well, I’m right now I’m almost 42 clients are like, what you look at here, 30 years old? I’m like, no, like, I’m, you know, I’m going to be 42 like, I’m, you know, I’m. I’m a lawyer who’s been doing this for a long time. But I love esthetics, you know as well,
awesome. I love it. Well. I mean, I really appreciate it. Thank you so much for the time. There you go, folks. You’re, you heard from her. She’s, you know, been in law practice for a long time, own medical esthetics practices. I think you’d be doing yourself a disservice, but by not reaching out and really learning everything you can about what Sarah and her firm can offer, but I’ll leave it at that, Sarah, thank you so much for joining medical millionaire and guys, please tune in. We gave the website. Where else can they find you? Can they find you on Instagram or any social channels?
Yes, on Instagram, at lengia law.com on LinkedIn and sometimes on Tiktok. But I have to motivate myself to do Tiktok more. I’m one of these people that, like all of us, I struggle with updating some of my social channels. Maybe I should hire a marketing company to do that.
I know we can help you with that. Alright, alright, sir, I’ll let you go. Thank you so much. And folks, you have it until next time. Happy. Injecting you.

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#91: Why Having An Attorney Is Crucial For Your Medical Practice With Sarah Shikman

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