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DecodeMD Beta Test Application
Helping You Feel Informed Not Afraid
Name
*
First Name
Last Name
Email
*
example@example.com
Your Role
*
Please Select
Patient – I want to understand my own reports
Caregiver (Adult Child / Family) – I help manage a parent or loved one’s care
Spouse/Partner – I help my spouse/partner understand their reports
Parent of Minor – I need to explain reports to or for my child
Healthcare Professional (Informal Use) – I want to see how this could support my patients/families
Other
Have you ever struggled to understand a medical report?
*
Yes
No
Why do you want to join the DecodeMD Beta? ( Optional But We Appreciate Your Insights)
Join the Beta Now
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