EMR-Synergy EMR Software, electronic medical record software, emr expert

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	Emr
	Appointment Scheduling
	Workflow Management
	Patient Demograpics
	Diagnosis & Treatment
	E-Prescription
	Spell Checker
	Management Reports
	Intelligent Billing

Contact Us for a demo:
	sales@synergyemr.com
Request Information:
	info@synergyemr.com

EMR Request Quote

Step:1Create your Electronic Medical Record (eMR) Software Request quote:

[ Number of Questions: 9 ~ Average time to complete: 1 min, 10 sec ]

1.	What type of medical practice are you planning to obtain EMR software? [required]
	Primary care
	Specialty
	Hospital
	Dental
	Physical therapy/chiropractic
	Other (please specify):

2.	How many licensed physicians will use this EMR system? [required]
	1-2
	3-5
	6-10
	11-25
	25+

3.	How many locations will use this EMR system? [required]
	1
	2
	3-4
	5+

4.	Which practice functions are you looking to address with EMR software? [required]
	Record management and reporting
	Interoperability with other medical practices/facilities
	Automated prescription writing
	Automated prompts/reminders
	Electronic-tablet based charts
	Other (please specify):

5.	When would you like an EMR system installed? [required]
	Immediately
	Within two months
	Between two and four months
	More than four months

6.	What is the five digit ZIP code for your office location? [required]


7.	What is your e-mail address? [required]

	Why we need your email address?

8.	Other than price, what is most important to you when selecting medical software?[required]
	Features and functionality
	Ease of use
	Customization
	Compatibility with palm handheld or PDA
	Service (installation, training and support)
	Other (please specify):

9.	Please briefly describe any additional requirements you have for EMR software.

	NOTE: A minimum of 300 characters has to be entered and there is a 1,000 character limit for this answer.