Blockchain Proof of Concept Request
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Your Role / Title
City, State, Country
Type of Health Stakeholder
Hospitals / Clinics
Payer / Health Insurance
Research / Academic
Accountable Care Organization
Foundation / Non-profits
Startup / Developer
Which Electronic Health Record (EHR) do you use?
How do you rate your understanding of blockchain?
Just heard of blockchain
Own some Bitcoin/Ether and can carry discussions
What is your goal for the blockchain Proof of Concept with Health Passport?
Anything else you'd like to add?
A copy of your responses will be emailed to the address you provided.
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