First Name
Last Name
Email
Phone Number
State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Name of Organization
What is your current role? Business Administration or Operations Clinical Operations Office Manager Provider Technical (IT) Staff Other Patient Product Management
Please select your primary practice specialty: Addiction Medicine (outpatient only) Cardiology Endocrinology Family Medicine Gastroenterology Geriatrics Gynecology Internal Medicine Lifestyle/Integrative/Functional Medicine Naturopathy Neurology Obstetrics & Gynecology Otolaryngology (ENT) Pediatrics Psychiatry Psychology/Mental and Behavioral Health Pulmonology Rheumatology Urgent Care Urology Other
What is your primary payment model? Insurance - Fee For Service Cash-based Payments Memberships
How many clinicians work at your practice?
Comments
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