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Name of Practice/Clinic
Contact Person Name
Contact Person Phone Number
Do you or your clinic currently have an electronic prescribing solution for non-controlled and controlled substances?
Would you like more information about DAW's ScriptSure ERX?
I would like to see a demo of this solution. Signup here:
I would like someone from NEHII to contact me to discuss this solution
I am ready to start using DAW ScriptSure ERX as my electronic prescribing solution
Yes, Registration link:
No, I would like to receive more information from NEHII first
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