Registration

Name*

First Last

Email*

Password*

Enter Password Confirm Password

Business Information

Organization*

Location*

State

Job Title*

Number of staff*

1. Who is your current EHR vendor?*

2. What is your timeframe to purchase or replace your EHR?*

By providing your name, email address, and other information, you are giving Qualifacts and OPEN MINDS permission to send you information about their services. Qualifacts and OPEN MINDS will not sell or transfer your name, address, or email address.

You agree that, should you use any material provided through this online community you will attribute the source of that information to the "Value Based Care Community for Behavioral Health powered by CareLogic" Such information may not be altered or changed. For additional information, please read our Privacy Policy. By submitting your information, you agree to the terms provided above, and the terms provided in our Terms of Use and our Privacy Policy.