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Mediflow AI
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Intake form
Help us serve you better
Name
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Email address
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What type of AI solutions are you interested in?
Please select at least one option.
Learning Management Systems (LMS)
Automation Tools
Analytics
Custom AI Solutions
What is your preferred method of communication?
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Email
Phone
Video Call
What is the size of your organization?
Select
1-10 employees
11-50 employees
51-200 employees
201-500 employees
500+ employees
What industry does your organization belong to?
Please select at least one option.
Healthcare
Education
Finance
Retail
Manufacturing
What is your current system for managing medical operations?
What challenges are you currently facing in your medical operations?
What is your timeline for implementing AI solutions?
Select
Immediately
Within 3 months
Within 6 months
Longer than 6 months
What budget range are you considering for this project?
Select
Less than $10,000
$10,000 - $50,000
$50,000 - $100,000
Over $100,000
Are you currently using any AI technologies?
Select
Yes
No
How did you hear about us?
Select
Referral
Online Search
Social Media
Event
Which service or services are you interested in?
Please select at least one option.
AI-Powered oxygen management
AI-Driven healthcare training
IoT-Enabled patient monitoring
Additional questions or comments
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