First Name

Last Name

Email

Phone Number

ZIP Code

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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