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Get Started with PrescribeIT®

PrescribeIT® is available in number of communities and we are working actively to scale the service across Canada.

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First name:(*)
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Last Name:(*)
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Clinic name(*)
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Unit Number:
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Street Number:(*)
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Street Name:(*)
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City/Town:(*)
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Province / Territory(*)
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Telephone Number:(*)
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Email Address:(*)
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Clinic/Prescription Information:

Number of prescribers within your clinic (if applicable):
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Number of patients (approximately) per week:
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Which EMR is used in your clinic?(*)
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specify "Other" EMR:
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How do you generate prescriptions?(*)
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Do you codify drugs?
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Do you use free form text ?
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How are your patients' prescriptions delivered to their pharmacies?(*)
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Is there any other information you would like to share with us?
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