First Name

Last Name

Company

What is your professional Title?

How Many Physicians are in your Practice?

Email

Phone

State Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Other

Country

EHR AdvancedMD Allmeds Allscripts - ProEHR Allscripts - Unity API (ADP) Athena CareCloud Cerner CPSI - Evident drchrono eClinicalWorks Elation Epic Exscribe Flatiron GE - Centricity GE - IDX Greenway - Intergy Kareo McKesson - iKnowMed Meditab Meditech Meditouch MTBC Netsmart NextGen OpenPM Other Phoenix Ortho QRS SRS

Which EHR do you use?

What is your Specialty? Allergy/Immunology Anesthesiology Cardiology Critical Care Dermatology Emergency Medicine Endocrinology ENT Family Practice GI Hospitalist Hospital System Hospital System - academic Infectious Disease Internal Medicine -IPA -MSG- -MSO- Nephrology Neurology OB/Gyn Oncology Ophthalmology Orthopedics Pain Pediatrics Plastics Psychiatry Pulmonology Radiation Oncology Rheumatology Surgery - Other Urgent Care Urology Addiction Medicine Adolescent Medicine Adult Medicine Allergy/Immunology - Pediatric Anesthesiology - Anesthesiologist Anesthesiology - Anesthesiologist Assistant Anesthesiology - Certified Registered Nurse Anesthetist Anesthesiology - Pediatric Anesthesiologist Audiologist Cardiology - Cardiac Electrophysiology Cardiology - Cardiac Surgery Cardiology - Cardiologist Cardiology - Interventional Cardiology Cardiology - Pediatric Cardiologist Cardiology - Peripheral Vascular Disease Chiropractic Critical Care (Intensivists) Critical Care (Intensivists) - Pediatric Dietitian/Nutrition Professional Emergency Medicine - Pediatric Endocrinology - Pediatric Endocrinology - Reproductive Gastroenterology Gastroenterology - Pediatric General Practice Geriatric Medicine Hematology Hospice and Palliative Care Infectious Diseases - Pediatric Neonatal-Perinatal Medicine Nephrology - Pediatric Nurse - Certified Clinical Nurse Specialist Nurse - Certified Nurse Midwife Nurse - Nurse Practitioner Obstetrics/Gynecology Obstetrics/Gynecology - Maternal & Fetal Medicine Occupational Medicine Oncology - Gynecological/Oncology Oncology - Hematology/Oncology Oncology - Medical Oncology Oncology - Pediatric Hematology/Oncology Optometry Osteopathic Manipulative Medicine Otolaryngology Otolaryngology - Pediatric Pain Management Pain Management - Interventional Pain Management Pathology Pathology - Cytopathology Pediatric Medicine Pediatric Medicine - Developmental & Behavioral Physical Medicine and Rehabilitation Physician Assistant Podiatry Preventive Medicine Psychiatry - Addiction Psychiatry - Geriatric Psychiatry Psychiatry - Neuropsychiatry Psychology - Clinical Neuropsychologist Psychology - Clinical Psychologist Psychology - Psychologist Pulmonary Disease Pulmonary Disease - Pediatric Radiology - Diagnostic Radiology Radiology - Interventional Radiology Radiology - Nuclear Medicine Radiology - Radiation Oncology Rheumatology - Pediatric Sleep Medicine Social Worker - Licensed Clinical Social Worker Sports Medicine Surgery - Colorectal Surgery (formerly proctology) Surgery - Foot and Ankle Surgery - General Surgery Surgery - Hand Surgery Surgery - Maxillofacial Surgery Surgery - Neurosurgery Surgery - Oral and Maxillofacial Surgery Surgery - Oral Surgery (dentists only) Surgery - Orthopedic Surgery Surgery - Otolaryngology/Facial Plastic Surgery Surgery - Pediatric Orthopedic Surgery Surgery - Pediatric Surgery Surgery - Plastic and Reconstructive Surgery Surgery - Surgical Oncology Surgery - Thoracic Surgery Surgery - Vascular Surgery Therapy - Occupational Therapist Therapy - Physical Therapist Therapy - Speech Language Pathologist Urology - Pediatric

Does your organization use Windows or Mac Computers? Windows Mac

Good news - we'll have a solution for you in early 2023. Would you like to join the waitlist? True False

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