Centricity EDI Services for Centricity Practice Solution Demo

Centricity* EDI Services for Centricity Practice Solution Demo

Please complete the following questions.

First Name *This question is required.

Last Name *This question is required.

Email Address *This question is required.

Confirm Email Address *This question is required. This question requires a valid email address.

Title *This question is required.

Phone Number *This question is required. This question requires a valid number format.

Organization Name *This question is required.

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Apt/Suite/Office

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How many providers are there in your organization? (Please enter a numeric value) *This question is required.

Is your organization planning to purchase practice management/EMR software? *This question is required.

Is your organization planning to purchase EDI Services? *This question is required.

Would you like to speak to a GE representative about Centricity Practice Solution? *This question is required.

To view the Supply Chain Management Solution Webinar, please complete the following questions.