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Information about Practice

This Information will allow you to access product.

Practice Name *

Contact Person *

Email *

Phone Number *

Website *

Number of office Locations *

Primary Doctor's Name

Important Requirements

please check the below boxes

Please ensure that iPad is available and ready to use.
Click here for required iPad specification

Create an Apple ID and login into the iPad
Click here to create an Apple ID

Your practice must have secured WIFI

Contact your IT support or call us: 877-203-6767 for more information

I have reviewed the above information and understand what requirements are needed prior to using the service *