Feedback Form - PedsTestOnline

How can we help?
Please enter information below

We'd like to hear any and all feedback you may have about using PEDS Online.
Please add your suggestions, questions or concerns below.
Thank you!

All required fields must be completed.

* Contact Person:

* Contact E-mail:

* Organization/Name:

Are you currently using an EMR software?
Yes No

Which EMR?

Do you have technical/IT staff? If so, please describe...

How do you currently use PEDS Online with your EMR? (ex: copy/paste)

What is your biggest concern using PEDS Online?

How can we help?

Suggestions and Comments: