Basic Package – Tido Inc.

Name *

First

Last

Name of organization *

Email *

Email

Confirm Email

You will receive a quote at this email address

Number of current interfaces *

Choose range of current enterprise interfaces

Number of facilities *

# of hospitals, clinics, long term facilities, etc.

Integration infrastructure *

Indicate where interfaces are hosted today

Number of integration resources *

Please indicate closest range for current integration resources on staff or contract

Current integration engine (s) *

List integration engines currently used. Example: Mirth, CorePoint, Rhapsody, Cloverleaf, etc. Indicate None if no engines used.

Package licensing term *

5% discount applied for each additional year

Additional comments *

Please provide any additional information you may deem necessary