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CLINICAL PRACTICES
  Imaging
  Lab
 
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Imaging  
   
Take a 2-Minute Survey to Get Started
Please take two minutes to fill out our Needs Assessment Survey. Your responses will help us capture high level basic information to start an assessment process.
   
Imaging
Assessment Survey
About the Confidential, No-Obligation, Imaging
1. Complete the form below
2. Select Submit
3. Your request will be routed to the appropriate maxIT Clinical Imaging team member for follow-up within 24 hours of submission
4. Questions? Please contact maxIT at 1-877-652-4099
5. Review maxIT's Privacy Policy
Tell Us About Yourself
* Full Name
* Title
* Company
* Phone
* Email
* Address
* City * State * Zip Code
Preferred method of Contact: Phone Email
 
Tell Us About Your Services
 
* What type of diagnostic procedures (invasive & non-invasive) do you perform?
Number of Invasive Rooms Number of Non-Invasive Rooms
Size of Clinical Support Team Number of PACU bays
 
* Please check the Top Three areas of interest:
Initial interview & Assessment Process / Workflow / Obstacles
Current PACS performance review Solution/system upgrade or support
Charge Capture / lost charges System Administration
User Support / Training Project Management
Other    
Are you considering a new implementation or upgrade?
Implementation Upgrade Neither
 
Is there dedicated IT support for your applications?
Vendor Clinical IT Staff Informatics None
 
What is your current IT technology?
EMR/HIS:
Imaging (PACS) Solution:
Imaging Scheduling Solution:
Hemodynamic Solution
(if applicable):




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