Free Trial CD-ROM 

Please fill out the form below to receive a Medamation MD Utility free trial CD-ROM.  The free trial software is fully functional but has a 100-chart maximum.  If you then decide to buy the full version you can save all records created with the trial version.

Medamation Inc. will not sell or give your name or personal information to other companies or individuals.

Fields with (*) are required.

Salutation:

*First Name:

      M.I: 

*Last Name:

*Hospital/Company:

Address:

Address:

 if needed

          *City:

  

     *State/Province:

 Zip:   Country:

*Phone:

     Fax:

*Email Address:

  

Specialty:

1. Do you currently us an EMR (Electronic Medical Record) software program?
Yes     No
2. If so, which EMR software?
3. If not, how are you currently performing your patient documentation?

4. If you are or plan on using an EMR product what is your preferred method of entering information?

5. What are your primary reasons for interest an EMR? (check all that apply)
Reduce documentation costs
Reduce documentation time
Easier record searches
Better quality/more complete records
HIPAA requirements
Other:

6. If you are considering the use of an EMR product for your patient documentation, how much are you budgeting per physician for software?

 

Copyright 2006 Medamation Incorporated