Interested in Healthcare POS?
Tell us about yourself and we will get back to you as soon as possible!
Business Owner Name
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Business Name
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Email
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Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
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What type of healthcare business do you operate?
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Please Select
Private Medical Practice
Dental Office
Chiropractic Clinic
Physical Therapy/Rehabilitation
Medical Spa or Aesthetics
Veterinary Clinic
Pharmacy
Other
How many patients do you typically see per day?
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Please Select
0–20
21–50
51–100
Over 100
Do you currently use a POS system?
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Please Select
Yes, and we’re happy with it
Yes, but it lacks features we need
No, we’re using manual or paper-based systems
No, but we’re actively looking for a solution
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What features are most important to your business?
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HIPAA-Compliant Patient Data Storage
Co-Pay and Insurance Billing
Text-to-Pay / Mobile Payments
Recurring Billing for Treatment Plans
Digital Invoicing and Statements
Inventory Management (medications, supplies)
Contactless Checkout / Tap to Pay
Reporting & Analytics
How many locations does your practice have?
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1
2–3
4–9
10 or more
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What kind of patient payment options do you currently offer?
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Please Select
Cash
Credit/Debit Cards
HSA/FSA
Mobile Wallet (Apple Pay, Google Pay)
Text or Email Invoicing
Payment Plans / Installments
None yet
Are you interested in financing options for equipment or software?
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Please Select
Yes, we’d like to learn more
Maybe, depending on cost
No, we prefer to pay upfront
When are you looking to implement or upgrade your POS system?
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Please Select
Immediately
Within 30 days
Within 90 days
Just exploring options right now
Please verify that you are human
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