QUOTE & INVOICE REQUEST FORM
This form is for quote or invoice requests only. It does not complete purchase or initiate report production. To complete a purchase, use the Order Form.
Review full product details, pricing, data requirements, and a sample report at uds.thedomasgroup.com.
Would a brief conversation be helpful?Schedule a 20-minute call to discuss the Brief, ask questions, or confirm fit.
https://calendar.app.google/8KTtdWjpjbJvPV1T6
Answers: Where should we focus first as an organization?
Best for: CHCs and look-alikes that need a clear, benchmark-informed starting point for deciding which UDS measures warrant attention first.
Data needed: None, unless required for selected organization-level comparison option at next step.
Starting at $4,500
Answers: Are our action areas concentrated at specific sites or showing up across the organization?
Best for: Multi-site CHCs and look-alikes that need to understand whether action areas are isolated to specific sites or showing up across the organization.
Data needed: Site-level numerator and denominator values by measure and site are required at purchase. Organization-level values may also be required depending on the comparison selected in the next step.
Download the template at resources.thedomasgroup.com.
Please do not submit patient-level data, PHI, EHR exports, screenshots, or chart-level files. Only aggregate numerator and denominator values should be submitted using the provided template.
Instructions
Print QuoteClear any errors noted in the top panel, then select “Done.”
Select Print Quote to create a printable/PDF version to share selected options internally before submitting.
Request InvoiceGenerates and emails the invoice as an attachment. If your organization requires a PO number on the invoice, enter it here before selecting Request Invoice.
Purchase Your BriefClick here to open the Order Form.