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Discovery Session
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Discovery Session
DISCOVERY SESSION
Discovery Session
Form
Please provide your reference information below!
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Phone
*
Hospital Name
*
Hospital Website
*
Hospital Email
*
Hospital Fax
What type of practice do you have? (Choose all that apply)
*
General
Mobile
Emergency
Specialty
Urgent Care
What type of species do you see? (Choose all that apply)
*
Canine
Feline
Equine
Pocket Pets
Avian
Reptiles
Livestock
Other
If other, please specify
*
How many veterinarians are working at your hospital?
*
1-3
5-8
8-10
10+
How many hours a week are you intending the remote team to fulfill?
*
< 20
20-29
30-40
Layout
What days would you like the remote team to work?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Hours 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-based
Cloud-based
Cloud-based
*
EzyVet
Rhapsody
Vetter
Instinct
Idexx Neo
eVet
Other
If other, please specify
*
Server-based
*
Impromed Infinity
Idexx Cornerstone
Avimark
Other
If other, please specify
*
Can you connect to your system by VPN?
*
Yes
No
I do not know
Can employees access your system remotely?
*
Yes
No
I haven’t tried
How do employees access the system remotely?
*
Can employees take telephone calls remotely?
*
Yes
No
I am not sure
Who is your current phone provider?
*
Weave
Comcast
Verizon
DialPad
Grasshopper
Google Voice
Five9
3CX
Tetris
Other
If other, please specify:
*
Service you’re interested in?
*
CSR
Technician
Select 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 scheduling
Payments
New patient onboarding
Appointment reminders
Other
If other, please specify:
Do you have or intend to keep a reception team in hospital?
Yes
No
Other
If other, please specify
*
Technician
Pharmacy Requests
Estimates / Treatment Plans
Client education / Callbacks
Surgery scheduling
Consultation scheduling
Virtual post procedure follow up
Client Updates
Live Chat
Other
If other, please specify:
*
Who would you prefer to handle these tasks?
Licensed Technician
Technician Assistant
Any additional information you would like to provide?
Submit