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Form analysis
1 forms found in the DOM

POST /wp-admin/admin-ajax.php

<form action="/wp-admin/admin-ajax.php" id="appoint-form" method="post" novalidate="novalidate">
  <p>
    <label class="display-ie8" for="apo_name">Full Name</label>
    <input type="text" name="apo_name" class="required" id="apo_name" placeholder="Full Name" title="* Please enter your Full Name">
  </p>
  <p>
    <label class="display-ie8" for="apo_phone">Phone Number</label>
    <input type="text" name="apo_phone" class="required" id="apo_phone" placeholder="Phone Number" title="* Please enter your Phone Number">
  </p>
  <p>
    <label class="display-ie8" for="apo_email">Email Address</label>
    <input type="text" name="apo_email" class="email required" id="apo_email" placeholder="Email Address" title="* Please enter valide Email Address">
  </p>
  <!-- <p>
                                <label class="display-ie8" for="apo_date"></label>
                                <input type="text" name="apo_date" class="required" id="apo_date" placeholder="" 
                            </p> -->
  <p>
    <label class="display-ie8" for="apo_date">Message</label>
    <textarea name="message" class="message required" cols="30" rows="5" placeholder="Message" title="* Please enter your message"></textarea>
  </p>
  <div class="captcha-container">
    <img src="wp-content/themes/healthpress-theme/captcha/appointment_captcha.php" alt="">
    <input type="text" class="captcha required" name="captcha" maxlength="5" title="* Please enter the code characters displayed in image!">
  </div>
  <p>
    <input type="submit" value="Submit Request" class="readmore">
    <input type="hidden" name="action" value="request_appointment">
    <input type="hidden" name="target" value="ben@punctil.com">
    <img src="wp-content/themes/healthpress-theme/images/loading.gif" id="apo-loader" alt="Loader">
  </p>
  <p id="apo-message-sent"></p>
  <div class="error-container"></div>
</form>

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 * PUNCTUALITY SOLUTIONS
   FOR HEALTHCARE
   
   
   
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 * When Reminder Systems Fail…




DO YOU KNOW WHERE YOUR PATIENTS ARE?




 


FIND OUT WHO IS ON THEIR WAY WITH PUNCTIL ETA!

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EXTEND YOUR APPOINTMENT AND BILLING REMINDER PROGRAMS WITH REAL-TIME STATUS
REQUESTS.
“ON WAY TO APPOINTMENT?”
“PAYMENTS SENT?”
FREE AND FULL-SERVICE PROGRAMS AVAILABLE.




HERE COMES THE PRESS



 * > "…consumers are increasingly sharing the burden of health care costs
   > through high deductible plans. That is going to force patients to make
   > smarter choices about how they spend their health care dollars. The
   > sleeping giant—the health care consumer is waking up."
   
   ,

 * > “The decisions a person (or their family) make drive health outcomes. For
   > example, does the patient fill a prescription and take it properly (more
   > than half don’t)? Traditional healthIT does virtually nothing to ensure
   > that people make the necessary lifestyle choices to optimize their health.”
   
   ,

 * > “Health care has long been ripe for disruption. Now, an emerging group of
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   ,




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No-shows and non-payments reduce revenues, waste staff time, create artificial
access problems, and negatively affect other patients' healthcare. Punctil
addresses these systemic issues head on…

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