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First name *

Last name *

Work email *

Company name *

Primary EHR

Number of locations

What best describes your use case? *

Cloud Fax Send & receive securely Intelligent Document Processing Automate inbound docs Direct Secure Messaging Exchange PHI provider-to-provider Developer API Build it into your stack Not sure yet Walk me through what fits

Cloud fax

Estimated fax pages per month *

Fewer than 500 pages/mo 501 - 5,000 pages/mo 5,001 - 25,000 pages/mo 25,001 - 100,000 pages/mo 100,001 - 1,000,000 pages/mo More than 1,000,000 pages/mo

Intelligent Document Processing

Estimated documents processed per month *

0K - 3K Documents 3K - 10K Documents 10K - 30K Documents 30K - 100K Documents 100K - 300K Documents Over 300K Documents

Which workflows apply? — select all that apply

Referral management Prior authorization Patient intake Other

Direct Secure Messaging

Estimated DSM messages per month *

Fewer than 500 messages/mo 501 – 5,000 messages/mo 5,001 – 25,000 messages/mo 25,001 – 100,000 messages/mo 100,001 – 1,000,000 messages/mo More than 1,000,000 messages/mo

Developer API

Which APIs do you want to test? * — select all that apply

Cloud fax Intelligent Document Processing Direct Secure Messaging

Estimated fax pages per month

Fewer than 500 pages/mo 501 - 5,000 pages/mo 5,001 - 25,000 pages/mo 25,001 - 100,000 pages/mo 100,001 - 1,000,000 pages/mo More than 1,000,000 pages/mo

Not sure yet

Estimated fax pages per month *

Fewer than 500 pages/mo 501 - 5,000 pages/mo 5,001 - 25,000 pages/mo 25,001 - 100,000 pages/mo 100,001 - 1,000,000 pages/mo More than 1,000,000 pages/mo

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