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?
What’s the biggest billing/accounts problem facing you right now ?
Please confirm Windows 10-32bit PC/Laptop
I confirm I have Win 32-Bit OS
I don't know what I have. Help!
I've checked – I have a 64-bit computer
I don't have a computer yet
Please note: Medinol only on this architecture.
When do you need to be up-and-running by?
YYYY slash MM slash DD
Please allow 4 days from signed order to submitting claims.