Case Study: QTbreasthealth Improves Patient Information Collection with FormAssembly

A FormAssembly Case Study

Preview of the QTbreasthealth Case Study

QTbreasthealth Works With FormAssembly Implementation Services to Enrich their Patient-Centric Healthcare Experience

QTbreasthealth worked with FormAssembly Implementation Services and consultants at Integrity Healthcare Advisors to build a compliant, user-friendly medical history form for patients scheduled for QTscan breast imaging. The company needed a way to collect medical information before appointments, connect it to Salesforce and then to its EHR system, and support the patient experience it wanted to provide.

With FormAssembly, QTbreasthealth created a Salesforce-connected, HIPAA-compliant patient information form that is emailed after a patient’s initial contact. The form takes about 5 minutes to complete and includes FormAssembly’s Chargent connector for advance payment. The company launched the form in August 2018 and said FormAssembly’s scalability was important as clinic volume grows from 8 women a day to 50 women a day by the end of the year.


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QTbreasthealth

Jim Bollinger

Chief Executive Officer , Integrity Healthcare Advisors; Consultant


FormAssembly

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