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E-prescribing Signup
Please complete the form below. Once submitted, a member from the NEHII team will be in contact with you soon.
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Email
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Your email
Name of Practice/Clinic
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Your answer
Contact Person Name
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Your answer
Contact Person Phone Number
Your answer
Do you or your clinic currently have an electronic prescribing solution for non-controlled and controlled substances?
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No
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Would you like more information about DAW's ScriptSure ERX?
I would like to see a demo of this solution. Signup here:
https://calendly.com/aforman-scriptsure/scriptsure-erx-demo-ne-30-min
I would like someone from NEHII to contact me to discuss this solution
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I am ready to start using DAW ScriptSure ERX as my electronic prescribing solution
Yes, Registration link:
https://platform.scriptsure.com/#/invite/8f7cd4cfd5174305a3758ea186d431fd/1/689e96ed9cd9453faede5a8d734abc53/eligible
No, I would like to receive more information from NEHII first
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