AMCIS EMR/EHR Survey and             Request for Info

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Please fill in the following survey as completely as possible.  This information will help us prepare to speak with you more effectively about the ways that AMCIS might work for you.  If you would prefer to talk with a representative about these questions by telephone, please call (800)791-1610. 

   
GENERAL PRACTICE INFORMATION  
      How many locations does the practice have?
      How many physicians are in the practice?
      How many ARNP's, PA's are in the practice?
PRACTICE WORKFLOW INFORMATION  
      Average number of patient encounters a day, per provider?
      How many of the providers and staff are comfortable with computer use?    
      Does the group do its own billing?
      Are the providers' notes currently dictated and transcribed into MS Word?
EMR/EHR READINESS  
       How much consideration has the practice given to purchasing an EMR?
       When does the practice anticipate purchasing an EMR?
       How would the group prefer to implement an EMR system?

Contact Information
 

  
Contact Name (Required)
 Contact Title
Practice Name
 Street Address
Address Continued
 City
 State
Zip Code
 Telephone (Required)
E-Mail (Required)
Web Site Address
 

 

 
 
 
If you do your own billing, please provide us with the name of your billing software.  If you use a billing company, please list the billing company's name.
If the providers' current notes are not in MS Word, what format are they in?
What benefits or advantages does the practice want to receive from an EMR?
What concerns does the practice have about implementing an EMR?
 
Would you like to receive our e-mail newsletter with special offers and information on records management that may impact you?
   
   
Thank you for completing our survey.  We'll be in touch with you soon!

 

 


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