Please complete the form below to download "Your Guide to Patient Financial Engagement from Start to Payment."

First Name

Last Name

Email

Company

Are you looking to add Patient Financing in the next 12-18 months? Yes No Maybe

Will you require an RFP/ RFQ? Yes No

Do you currently use a patient financing solution? Yes No

If so, who?

What is your biggest concern for adding Patient Financing? Recourse Cost Time to Implement Patient Satisfaction Other

If other, what concerns do you have in adding a Patent Financing Solution?

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