Complete the Intake Form below with as much pertinent and accurate information as possible. Getting it right the first time is important to us. You may need to refer to the general setup guidelines by clicking here or contact us to request for initial setup guidelines specific to your EMR.
We can start as quickly as 24 business hours after you submit this form contingent upon the complete execution of the Business Associate and HIPAA Agreements, Service Agreement, and payment of the one-time, non-refundable $500 Sign-up fee when required.
* No service agreement or sign-up fee is required for the trial.
Do you have questions regarding the form? Do not hesitate to contact us.
Call
1-844-QANNOV8 (1-844-726-6688)
Monday – Friday: 9am – 5pm ET
Saturday – Sunday: Closed