Discovery SessionForm Please provide your reference information below! Please enable JavaScript in your browser to complete this form.Name *FirstLastPhone *Hospital Name *Hospital Website *Hospital Email *Hospital FaxWhat type of practice do you have? (Choose all that apply) *GeneralMobileEmergencySpecialtyUrgent CareWhat type of species do you see? (Choose all that apply) *CanineFelineEquinePocket PetsAvianReptilesLivestockOtherIf other, please specify *How many veterinarians are working at your hospital? *1-35-88-1010+How many hours a week are you intending the remote team to fulfill? *< 2020-2930-40LayoutWhat days would you like the remote team to work? *MondayTuesdayWednesdayThursdayFridaySaturdaySundayHours available on Monday: *Hours available on Tuesday: *Hours available on Wednesday: *Hours available on Thursday: *Hours available on Friday: *Hours available on Saturday: *Hours available on Sunday: *What type of hospital software are you on? *Server-basedCloud-basedCloud-based *EzyVetRhapsodyVetterInstinctIdexx NeoeVetOtherIf other, please specify *Server-based *Impromed InfinityIdexx CornerstoneAvimarkOtherIf other, please specify *Can you connect to your system by VPN? *YesNoI do not knowCan employees access your system remotely? *YesNoI haven’t triedHow do employees access the system remotely? *Can employees take telephone calls remotely? *YesNoI am not sureWho is your current phone provider? *WeaveComcastVerizonDialPadGrasshopperGoogle VoiceFive93CXTetrisOtherIf other, please specify: *Service you’re interested in? CSRTechnicianSelect the services you want to be delegated to a remote team member (choose all that apply)Client Communications (phone calls, text messages, emails, and digital faxes)Real-time schedulingPaymentsNew patient onboardingAppointment remindersOtherIf other, please specify:Do you have or intend to keep a reception team in hospital?YesNoOtherIf other, please specify *TechnicianPharmacy RequestsEstimates / Treatment PlansClient education / CallbacksSurgery schedulingConsultation schedulingVirtual post procedure follow upClient UpdatesLive ChatOtherIf other, please specify: *Who would you prefer to handle these tasks?Licensed TechnicianTechnician AssistantAny additional information you would like to provide?Submit