*1.What's your organization's name?(Required.)

*2.What size is your organization?(Required.)

Small (1-3 locations)

Mid-market (4-10 locations)

Enterprise (10+ locations)

*3.What Kipu products are you currently using? Select all that apply.(Required.)

EMR

RCM

CRM

KIP AI

Compliance

*4.Describe how you've used Kipu in an innovative way to improve the way your organization functions and delivers care. Please be specific.(Required.)

*5.What problem, challenge or opportunity were you addressing when you implemented the innovation?(Required.)

*6.What were the specific, measurable outcomes you achieved as part of that innovation?(Required.)

*7.Please enter your email so we can follow up.(Required.)