Online Demo Request Form

 

Thank you for your interest in the on-line demonstration. Please complete the following form, we will be in contact with you shortly.

We will need to create a login and password for you to run this program online. Once this is created, we will spend 15-30 minutes with you on the internet and phone demonstrating the basic functionality of the system. After that, you are free to use it as much as you like for up to 30 days.

This fully featured demo is only limited by confidentiality, do not put patient information in the program, this would be a HIPAA violation.

Request Demo Form

Responses are more rapid Monday through Friday, 7am – 7pm CST.

Subject:

 

Name:

 

Address:

 

E-Mail:

 

Position:

 

Institution:

 

Phone Number:

 

Best date and time to set up your demo:

/ / Time:

 

Comments:

 

 

When they submit this form it goes to info@frenelsolutions.com