Hospice Tools Beta CRM Feedback

Help us serve you better!

Thank you for participating in the beta launch of the new Hospice Tools CRM.

Your feedback will help us improve and better meet your hospice agency's needs.

CRM Feedback

"*" indicates required fields

First Name*

Last Name*

Email*

Company

Feedback Type

What is your feedback regarding?

New Feature/Idea

Bug issues

Other

Level of Priority

How soon would you like us to address your feedback?

High Priority

Low Priority

Feedback Details

Please describe feedback in detail and how it can improve your workflow, and the workflow of your office as a whole.

Additional Feedback

Feedback Type

What is your feedback regarding?

New Feature/Idea

Bug issues

Other

Level of Priority

How soon would you like us to address your feedback?

High Priority

Low Priority

Feedback Details

Please describe feedback in detail and how it can improve your workflow, and the workflow of your office as a whole.

Additional Feedback

Feedback Type

What is your feedback regarding?

New Feature/Idea

Bug issues

Other

Level of Priority

How soon would you like us to address your feedback?

High Priority

Low Priority

Feedback Details

Please describe feedback in detail and how it can improve your workflow, and the workflow of your office as a whole.

Additional Feedback

Feedback Type

What is your feedback regarding?

New Feature/Idea

Bug issues

Other

Level of Priority

How soon would you like us to address your feedback?

High Priority

Low Priority

Feedback Details

Please describe feedback in detail and how it can improve your workflow, and the workflow of your office as a whole.

Additional Feedback

Feedback Type

What is your feedback regarding?

New Feature/Idea

Bug issues

Other

Level of Priority

How soon would you like us to address your feedback?

High Priority

Low Priority

Feedback Details

Please describe feedback in detail and how it can improve your workflow, and the workflow of your office as a whole.

Additional Feedback

Feedback Type

What is your feedback regarding?

New Feature/Idea

Bug issues

Other

Level of Priority

How soon would you like us to address your feedback?

High Priority

Low Priority

Feedback Details

Please describe feedback in detail and how it can improve your workflow, and the workflow of your office as a whole.

Phone

This field is for validation purposes and should be left unchanged.

For additional help:

Call us at 1-833-EHR-Tools (347-8665)

Email us at support@hospicetools.com