First Name
*
Last Name
*
Role
*
Other
CFO
CIO
Clinical Education
Chief Nursing Officer
Financial Management
IT Manager
Nurse
Nurse Manager
Item
OB Director
Obstetrician
Risk Management
PeriGen Employee
Chief of OB
CFO
CIO
Clinical Education
Chief Nursing Officer
Financial Management
IT Manager
Nurse
Nurse Manager
OB Director
Obstetrician
Risk Management
Other
PeriGen Employee
Chief of OB
Hospital
*
State
*
AK
AL
AR
AZ
CA
CO
CT
Canada
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
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VT
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WV
WY
Other
Email
*
Current EFM
Cerner FetaLink
GE CPN
None
OBIX
Other
Paper
PeriGen PeriCALM
PeriGen PeriWatch
PeriGen WatchChild
Philips TraceVUE