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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.
Please enter your email so we can communicate with the contact directly
Please provide us with the required information to complete your video correctly.
Drop files here or
Max. file size: 100 MB.
Please include the presenter(s) name that appear in the video.
Presenter's Title (Dr,. Nurse, ...)
Do you have a different phone number for scheduling?
Scheduling Phone Number
Do you have an online scheduling link?
Please provide your scheduling link
Please upload your full mobile contact list. To get started, download our form template by clicking the link below.
DOWNLOAD CONTACT LIST TEMPLATE:
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 Your Time
Please use the timezone you select below for scheduling.
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
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.
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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