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Hoya Push Connect
The information entered on this screen will be what is included in the push, be sure to take extra time to verify it is accurate.
Practice ID
*
Practice Name
*
Contact Email
*
Please enter your email so we can communicate with the contact directly
Video Details
Please provide us with the required information to complete your video correctly.
File
*
Drop files here or
Select files
Max. file size: 100 MB.
Please include the presenter(s) name that appear in the video.
*
Presenter's Title (Dr,. Nurse, ...)
Contact Links
Do you have a different phone number for scheduling?
*
No
Yes
Scheduling Phone Number
*
Do you have an online scheduling link?
*
Yes
No
Please provide your scheduling link
*
Your Audience
Please upload your full mobile contact list. To get started, download our form template by clicking the link below.
DOWNLOAD CONTACT LIST TEMPLATE:
(EXCEL)
(CSV)
Upload your contact list
*
Accepted file types: csv, xml, xmls, Max. file size: 100 MB.
Schedule Your Push Date
Please select the date and time you want your push scheduled for. (Note: Requests received in less than 48 hours will not be accepted.)
Select Your Date
*
MM slash DD slash YYYY
Select Time:
Select Your Time
Please use the timezone you select below for scheduling.
:
Hours
Minutes
AM
PM
AM/PM
Timezone
*
Eastern Standard Time (GMT-5)
Central Standard Time (GMT-6)
Mountain Standard Time (GMT-7)
Pacific Standard Time (GMT-8)
Alaska Standard Time (GMT-9)
Hawaii-Aleutian Standard Time (GMT-10)
Enter the timezone that you or the practice is currently in
Text Message
*
Privacy Policy
*
I agree to the privacy policy
I have received express permission to send a text message to each user in the list that I have provided. This could include a signed "Patient Consent for Digital Communication" form.
Consent
*
I agree to communications
The selected video meets requirements of and does not violate the rules of bulk texting as is described in the video standards document. Also, I understand and will abide by the Hold Harmless document.
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