Confidential Getting-Started Form
, I want to find out more about using
to IMPROVE my practice’s billing and claims, and substantially REDUCE the time it takes to get paid.
Please complete the following:
Fields marked with
Your name, please
Name of your practice
Select your practitioner type
1. General Practitioner
5. Occupational Therapist
6. Clinic/Nursing Practitioner
9. Other (BHF registered)
Where are your rooms physically located?
How are you currently claiming from patients/medical aids?
How can we help you? Some detail, please
Confirm Win 32-Bit OS
Confirm Win 64-Bit OS
Prerequisite computer equipment declaration – Please note that Medinol runs only on Windows 32-bit architecture.
When do you need to be up-and-running by?
Date Format: YYYY slash MM slash DD