Paige XT Requests and Feedback

Your feedback is important to us! Many of the Paige XT program features are a result of user feedback and requests. Our goal is to provide an effective patient discharge instruction and prescription writer that is user friendly and affordable. With your help, we will continue to acheive this goal.

Please use the following form to submit your feeback and/or requests.

Nature of submission:
Suggesting a Change Requesting a New Item Reporting a Problem

Concerning:
The Program Instruction Text Prescription Graphic (picture) Plan (Linked Group)

Please provide specific information below:

Optional - Enter your contact information:

Name
Title	Choose One Emergency Physician Primary Care Physician Other Physician Computer Technician Hospital Administrator Physicians Assistant Nurse Practitioner RN LPN Paramedic EMT Medical Student Other
Company
Phone
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