Halaxy Setup Request Form
Let us know how we can help you!
Contact Information
Please complete the following fields:
Full Name
*
First Name
Last Name
Contact Number
*
Please enter a valid phone number.
Format: 0000000000.
Email Address
*
example@example.com
Clinic Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Practice Setup Questionnaire
To better serve your needs, please complete the following questionnaire:
Practice Information
*
Practice Name
Type of Practice (e.g., Solo practitioner, Clinic, Hospital):
ABN
*
ABN number
Halaxy Setup Requirements:
*
Establishing user accounts, locations, and operating hours.
Incorporating fees and services along with corresponding item billing codes.
Create Appointment Types
Enable Medicare online claiming functionality.
Evaluating and configuring the optimal payment method for your practice.
Setup Funders relevant to your business and and select suitable referral types.
Establish automated processes for payments, receipts, rebates, and appointment reminders.
Design digital intake and consent forms.
Intake questionnaires (e.g., DASS or Alcohol Screening or K10).
Tracking Progress Forms (e.g., DASS or Alcohol Screening or K10).
Create Service Agreements for third parties (NDIS)
Create letter templates with populated patient and referrer information.
Create essential communication templates tailored to your clinic.
Incorporate integration with diverse Telehealth options.
Implementation of online booking functionality.
Clinical Templates (Referral Acceptance Letters, 6th, 10th review letters, etc)
Other
Service/s Requested
*
Halaxy Setup ONLY - $800
Pre and Post Setup Consultation, 7 Days Support Post Setup and Manual - $300
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Service Agreement
By signing below, you agree to the
service agreement
provided by Insight Admin.
Signature
*
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