OUTCOMES ASSESSMENT AND REPORTINGToday's date: Friday December 14, 2018

NEW ACCOUNT SETUP - STEP 1

30 DAY FREE TRIAL FOR NEW SUBSCRIBERS

The account you create will apply to your clinic as a whole. You will be able to add up to three (3) providers at the same location once your account is created. You do not need to create a separate account for each provider unless you prefer to do so.

NOTE: If you have more than one office location, you should create a separate account for each location to ensure meeting patient privacy requirements.

The first step is to complete the registration form below. Your 30 day free trial period will begin immediately. There is no obligation; you can cancel at any time. You can choose between a monthly subscription at only $24.95 per month or a full year for $250.00 (get 2 months for free). At the end of the trial your subscription will continue autmatically without interruption. You will not be billed until you have completed the trial. Required information is marked with a 

Complete the form below and then click the Next button to continue with the sign-up process.


To qualify for a REFERRAL discount, please enter the KEY CODE if you have one:

Key Code:

  optional - required for a discount

First Name:

 

Last Name:

 

Clinic Name:

 

Address:

 

City:

 

State/Province:

  
(State/Prov required for US and Canadian accounts)

Zip/Postal Code:

 
(Zip/Postal code required for US and Canadian accounts)

Country:

 

Phone:

 
(US and Canadian accounts please use 000-000-0000 format)

Fax:

Email:

 
(valid email required to receive payment receipts, update notifications)

User Name:

 

Password:

 Confirm:  
(6 - 12 alpha numeric characters required)
 

Please click once and wait for response:  

 
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