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“Technology has indeed taken a place next to war, death, divorce and taxes as a
prime cause of bone shuddering anxiety” –John Seymour

CONTACT FORM

Name MD: D.O. Other Specify Other

Practice Name   Specialty:  
Street
City state Zip
E-mail Address

Are you an FMA Member?   Yes     No

Number of physicians in your practice?     Number of PAs/ARNPs in your practice?

Do you have an EMR system in your practice?  Yes   No

If yes, which system is being used?  System Name: 

If no, do you plan on getting an EMR?    Yes   No    If yes, how soon?

Question

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