site-logo-new

BigBen Medical

Your trusted partner in medical solutions

  • Home
  • BPO
  • Products
  • Contact
  • My Cart

New Account Registration

Step 1 of 2

50%
  • General Info

  • Contact Person

  • Payment

  • $0.00
  • Form Creation

  • Lab Integration

  • Lab Location Info

  • Your name as it appears in the lab information system or client lab client portal if you don’t know this information reach out to your lab sales representative.
  • This is the Location name as it appears in the Lab Information System, if you don't know it ask the lab sales rep, if you only have one location, this will be the same as the Organization Name
  • This is the Location name as it appears in the Lab Information System, if you don't know it ask the lab sales rep, if you only have one location, this will be the same as the Organization Name
  • Form Information Required

  • Additional Fields / Forms Templates

  • Accepted file types: jpg, gif, png, pdf.
  • Accepted file types: jpg, gif, png, pdf.
  • Work flow could be something like I want the patient first to enter their demographics, then covid health screening then to sign HIPAA consent form then medical history form then
  • Notifications

    You can receive a notification to your email once you got a new registration, Notification will be like: NEW Form Registration: Form Name: {formname}, First Name: {firstname}, Last Name: {lastname} Email: {email}, Phone: {phone} Location: {location}
demo-attachment-649-Subtraction-8
site-logo-new

BigBen Medical

Your trusted partner in medical solutions

Copyright © 2021 BigBen Medical

Useful links

  • Home
  • BPO
  • Products
  • Contact
  • My Cart

Our Contacts

American Brands LLC
Doing Business as Bigben Medical Supplies

1420 Washington Boulevard
Suite 301 Detroit, MI 48226

+1 3134514099

[email protected]

Authorized By

demo-attachment-168-Subtraction-7
Shopping Basket