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Welcome to Medical Launch
This form is to collect some general information on who is reading our stuff.
Email
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1.
What is your first name?
2.
What is your last name?
3.
What state do you work in?
4.
Who do you work for?
Hospital System
Insurance
Pharma
PE Backed Clinic
Independent Clinic
Other
5.
What is the name of the company you work for?
6.
What is your role in healthcare?
MD, DO
PA, NP, RN
MA, Scribe
Admin
I don't work in healthcare
7.
What are you hoping to find on Medical Launch?
Software
Medical Consultants / Services
Medical Conferences
Advice on practice management
Just browsing around
8.
What is your brithday? (We will send a gift! :)
9.
What is your phone number? (We will not call you and this step is not required)