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Intake form
Help us serve you better
Name
*
Email address
*
What type of services are you interested in?
*
Please select at least one option.
AI based Heath Care Innovation
AI Health Care Consulting
Health Care Transformation
What is the size of your organization?
Select
1-10 employees
11-50 employees
51-200 employees
501+ employees
In the healthcare field, which specific area does your organization specialize in (e.g., Clinical Decision Support, Customer Engagement, etc.)?
Please select at least one option.
Clinical Decision Support
Patient Engagement
Predictive Analytics
Healthcare Operations
Medical Imaging
Remote Monitoring
Population Health Management
What is your preferred method of communication?
Please select at least one option.
Email
Phone
Video Conferencing
In-Person Meeting
What is your project budget range?
Select
Less than $5,000
$5,000 - $20,000
$20,000 - $50,000
$50,000 - $100,000
Over $100,000
What is your timeline for this project?
Select
Less than a month
1-3 months
3-6 months
6-12 months
Not sure
Additional questions or comments
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