1. What are the primary reasons you want an Electronic Medical Record (EMR) System? (Please check on each that apply):

Stimulus incentives require Physicians to adopt EMR
Access to Patient Records
Improve Productivity, Compliance and Legality of Documentation
Eliminate Cost Associated with Paper Charts and Transcription
Electronically Connect Patients, Providers, Insurance, Rx, Labs/Imaging

2. What is your expected timeframe to purchase and EMR system?:

Immediate
3 months
6+ months

3. We want to see the EMR Product Demonstration via:

Web-based demonstration
On-site demonstration

4. Do you want your EMR system to provide: (Please check each that apply):

Labs
Imaging
E-Prescribing
Provide patients with their own updated Personal Medical Records to take with them on a small flash drive device

5. Please provide information on:

US Stimulus funding for purchasing EMR
CCHIT Certification
"Meaningful Use" EMR
Incentive and Penalty timelines for EMR adoption

6. Please provide information on:

Comprehensive outsourced Billing services that will interface with any EMR system
Scanning/converting and digitizing existing paper charts  
Financing
A Billing Service that provides a Free Web Hosted EMR to their clients.