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  • Assessment Tool - Hitec-la

Get Assessment Tool - Hitec-la

TO THE FOLLOWING HITEC-LA TEAM MEMBERS VIA EMAIL AS SOON AS POSSIBLE: Clinics: Please email your completed form to Rebecca McLean at rmclean lacare.org. For questions please contact her at (888) 524-4832, Ext. 4189 Private practices: Please email your completed form to Karen Lawson at klawson lacare.org. For questions please contact her at (888) 524-4832, Ext. 4717 Practice Information Practice Name: City: Zip Code: Telephone: Backline Number: Office Manager's Name: Email: Telephone: Med.

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How to fill out the ASSESSMENT TOOL - HITEC-LA online

The ASSESSMENT TOOL - HITEC-LA is designed to gather essential information that will assist in identifying the HITEC-LA products and services best suited for your practice. This guide will walk you through the process of completing this document online.

Follow the steps to accurately complete the form online:

  1. Click ‘Get Form’ button to access the ASSESSMENT TOOL - HITEC-LA, which will open the document for your review and completion.
  2. Begin with the 'Practice Information' section. Provide the name of your practice, city, zip code, and contact details including telephone numbers.
  3. Next, identify the medical specialty. Check all applicable specialties to accurately represent your practice's focus.
  4. Indicate the total number of staff members in your practice and rate their computer proficiency from 'Advanced,' 'Intermediate,' or 'Beginner.' Additionally, do the same for the physician's computer proficiency.
  5. Answer questions regarding your office's internet connection, computer networking status, and the availability of a wireless connection.
  6. Specify who maintains your computers — whether the staff or a vendor.
  7. In the 'Current Systems' section, indicate if you currently use a Practice Management System (PMS) and provide the relevant details including the vendor name, product name, and version if applicable.
  8. Address any additional systems you may use, such as scheduling systems, appointment reminder systems, and e-Prescribing tools. Indicate 'Yes' or 'No' for each item.
  9. Continue to the 'Use of Health Information Technology (HIT)' section. Describe your practice's current EHR system status by checking the appropriate option.
  10. If not currently on EHR, state your goal for the go-live date in the format mm/dd/yyyy.
  11. Answer whether you have a budget designated for EHR purchasing and indicate the allocated amount if applicable.
  12. Complete the 'Form Completion' section by selecting your preference for the publication of your practice's name on the HITEC-LA website, then enter your name, title, provide your signature, and date the document.
  13. Finally, review all filled information for accuracy, then save changes, download or print your completed form, or share it via email with the specified HITEC-LA team members.

Complete the ASSESSMENT TOOL - HITEC-LA online to ensure your practice receives the support it needs.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232