Feedback Form - PedsTestOnline

How can we help?
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We'd like to hear any and all feedback you may have about using PEDS Online.
Please add your suggestions, questions or concerns below.
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* Contact Person:

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* 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: