Contact Us:

Our typical response times range from 0 to 3 hours. However, please anticipate up to 24 hours for a response Monday through Friday. Please note that our availability is limited on Saturdays and Sundays.

After completing the form, we'll review your information promptly and reach out via email to schedule your complimentary 1-on-1 Discovery Call with Lachelle.

Please Note: This is not an agreement to work with us.

Name

First Name

Last Name

Practice/Clinic Name

Specialty

Website

http://

Phone

(###)

###

####

What electronic health record (EHR) or electronic medical record (EMR) system do you currently use?

Are there any other medical software systems or tools that you use regularly? (e.g., practice management software, billing software, telehealth platforms)

Will you be providing access to your EHR/EMR system for integration purposes?

If access is provided, what level of access will be granted?

Read-only

Read and Write

Administrative

Other

Will you require the use of any specific programs or software on our end to access your system?

Will you provide any training or onboarding for your systems (at no cost to you)?

Which package are you potentially interested in?

Elite Care

Precision Medic

FlexCare

Weekly Budget

Your honesty is invaluable in helping us assess whether a predetermined package or a custom package aligns best with your needs. If you're signing up as part of a promotion, kindly select N/A.

Weekly Hours

Please estimate the number of hours you anticipate needing per week.

Are you a new or returning client?

What is your ideal start date?

YYYY

How did you hear about us?

Would you prefer a phone or video meeting for your Discovery Call?

Coupon/Referral Code

Message