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Input From End Users Wanted

Please know that you won't get anything in return such as money, or free stuff; however, you're help know can help make this new program fully functional and exactly what's needed for the end users!

While we value all end user's opinions or ideas... what we're looking for now is fairly specific we need input from people that fall into one of these categories:

  • Doctors
  • Nurses
  • Hospitals
  • People who have knowledge of common:
    • Diseases
    • Allergies

Ok, so what are we looking for? Well, it's faily simple. Fill out any of the fields below that you have info on (contact info, name, e-mail are optional), and click "Submit". The only things we're interested in at this time are on the form - although you may leave comments in the form for us also. If you want a reply, you MUST provide a valid e-mail address.

Name

E-Mail

 

Please Reply to my questions.

List any Common Diseases that you know of
List any Common Allergies that you know of
List information that a doctor or relative would need to know about the allergy/disease
Questions or Comments
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