Customer Discovery Questionnaire
Contact our Product Manager, Ashley Darnell, if you have any additional questions - adarnell@cliexa.com, (619) 403-1667
Email address *
Who is your typical patient population? (This will help us identify opportunities for screening reimbursement.) *
What conditions do you typically treat in your facility? *
Which assessments do you utilize? *
Your answer
Would you like to include patient intake or consent documentation? *
What would you like your report to include? *
Your answer
How would you like to receive these reports? *
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