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www.medq.com Open in urlscan Pro
2606:4700:3036::ac43:a7aa  Public Scan

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Submitted URL: https://go.sourcegrouppublications.com/l/jA_Do64yXiNfL44vBaFa5wKzR8xAG__0c1GaXPqKhE5R5Bfhio-Z9GAtPNYscoKR
Effective URL: https://www.medq.com/contact-us/
Submission: On November 27 via manual from US — Scanned from CA

Form analysis 4 forms found in the DOM

GET https://www.medq.com

<form class="elementor-search-form" action="https://www.medq.com" method="get">
  <div class="elementor-search-form__container">
    <label class="elementor-screen-only" for="elementor-search-form-85da7f0">Search</label>
    <div class="elementor-search-form__icon">
      <i aria-hidden="true" class="fas fa-search"></i> <span class="elementor-screen-only">Search</span>
    </div>
    <input id="elementor-search-form-85da7f0" placeholder="Search..." class="elementor-search-form__input" type="search" name="s" value="">
  </div>
</form>

GET https://www.medq.com

<form class="elementor-search-form" action="https://www.medq.com" method="get">
  <div class="elementor-search-form__container">
    <label class="elementor-screen-only" for="elementor-search-form-85da7f0">Search</label>
    <div class="elementor-search-form__icon">
      <i aria-hidden="true" class="fas fa-search"></i> <span class="elementor-screen-only">Search</span>
    </div>
    <input id="elementor-search-form-85da7f0" placeholder="Search..." class="elementor-search-form__input" type="search" name="s" value="">
  </div>
</form>

Name: Contact Form — POST 

<form class="elementor-form" method="post" name="Contact Form">
  <input type="hidden" name="post_id" value="57">
  <input type="hidden" name="form_id" value="f7b5a15">
  <input type="hidden" name="referer_title" value="Contact Us">
  <input type="hidden" name="queried_id" value="57">
  <div class="elementor-form-fields-wrapper elementor-labels-">
    <div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-100 elementor-field-required">
      <label for="form-field-name" class="elementor-field-label elementor-screen-only"> First Name </label>
      <input size="1" type="text" name="form_fields[name]" id="form-field-name" class="elementor-field elementor-size-md  elementor-field-textual" placeholder="First Name" required="required" aria-required="true">
    </div>
    <div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_1 elementor-col-100 elementor-field-required">
      <label for="form-field-field_1" class="elementor-field-label elementor-screen-only"> Last Name </label>
      <input size="1" type="text" name="form_fields[field_1]" id="form-field-field_1" class="elementor-field elementor-size-md  elementor-field-textual" placeholder="Last Name" required="required" aria-required="true">
    </div>
    <div class="elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-100 elementor-field-required">
      <label for="form-field-email" class="elementor-field-label elementor-screen-only"> Work Email </label>
      <input size="1" type="email" name="form_fields[email]" id="form-field-email" class="elementor-field elementor-size-md  elementor-field-textual" placeholder="Work Email" required="required" aria-required="true">
    </div>
    <div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_2 elementor-col-100">
      <label for="form-field-field_2" class="elementor-field-label elementor-screen-only"> Phone Number </label>
      <input size="1" type="text" name="form_fields[field_2]" id="form-field-field_2" class="elementor-field elementor-size-md  elementor-field-textual" placeholder="Phone Number">
    </div>
    <div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_3 elementor-col-100 elementor-field-required">
      <label for="form-field-field_3" class="elementor-field-label elementor-screen-only"> Company Name </label>
      <input size="1" type="text" name="form_fields[field_3]" id="form-field-field_3" class="elementor-field elementor-size-md  elementor-field-textual" placeholder="Company Name:" required="required" aria-required="true">
    </div>
    <div class="elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_4 elementor-col-100">
      <label for="form-field-field_4" class="elementor-field-label elementor-screen-only"> Facility Type </label>
      <div class="elementor-field elementor-select-wrapper remove-before ">
        <div class="select-caret-down-wrapper">
          <i aria-hidden="true" class="eicon-caret-down"></i>
        </div>
        <select name="form_fields[field_4]" id="form-field-field_4" class="elementor-field-textual elementor-size-md">
          <option value="Facility Type">Facility Type</option>
          <option value="Imaging Center">Imaging Center</option>
          <option value="Hospital">Hospital</option>
          <option value="Single Site">Single Site</option>
          <option value="Multi-Site">Multi-Site</option>
          <option value="Reading Services">Reading Services</option>
          <option value="Women’s Health">Women’s Health</option>
          <option value="Veterinary">Veterinary</option>
          <option value="Other">Other</option>
        </select>
      </div>
    </div>
    <div class="elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_6 elementor-col-100">
      <label for="form-field-field_6" class="elementor-field-label elementor-screen-only"> I’m particularly interested in... </label>
      <div class="elementor-field elementor-select-wrapper remove-before ">
        <div class="select-caret-down-wrapper">
          <i aria-hidden="true" class="eicon-caret-down"></i>
        </div>
        <select name="form_fields[field_6]" id="form-field-field_6" class="elementor-field-textual elementor-size-md">
          <option value="I’m particularly interested in...">I’m particularly interested in...</option>
          <option value="Workflow Automation Potential Analysis">Workflow Automation Potential Analysis</option>
          <option value="Q/ris 3000 Imaging Workflow">Q/ris 3000 Imaging Workflow</option>
          <option value="Automating ordering and scheduling">Automating ordering and scheduling</option>
          <option value="Enhancing technologist effectiveness">Enhancing technologist effectiveness</option>
          <option value="Streamlining report creation">Streamlining report creation</option>
          <option value="Universal interoperability">Universal interoperability</option>
          <option value="Remote access">Remote access</option>
          <option value="Unified teleradiology">Unified teleradiology</option>
          <option value="Clinical analytics">Clinical analytics</option>
          <option value="Add-on imaging workflow modules">Add-on imaging workflow modules</option>
          <option value="Other">Other</option>
        </select>
      </div>
    </div>
    <div class="elementor-field-type-recaptcha_v3 elementor-field-group elementor-column elementor-field-group-field_4517f5d elementor-col-100 recaptcha_v3-bottomright">
      <div class="elementor-field" id="form-field-field_4517f5d"></div>
    </div>
    <div class="elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons">
      <button class="elementor-button elementor-size-lg" type="submit">
        <span class="elementor-button-content-wrapper">
          <span class="elementor-button-text">Submit</span>
        </span>
      </button>
    </div>
  </div>
</form>

Name: Footer — POST 

<form class="elementor-form" method="post" name="Footer">
  <input type="hidden" name="post_id" value="182">
  <input type="hidden" name="form_id" value="eb864f8">
  <input type="hidden" name="referer_title" value="Contact Us">
  <input type="hidden" name="queried_id" value="57">
  <div class="elementor-form-fields-wrapper elementor-labels-">
    <div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-100">
      <label for="form-field-name" class="elementor-field-label elementor-screen-only"> Name </label>
      <input size="1" type="text" name="form_fields[name]" id="form-field-name" class="elementor-field elementor-size-xs  elementor-field-textual" placeholder="Name">
    </div>
    <div class="elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-100 elementor-field-required">
      <label for="form-field-email" class="elementor-field-label elementor-screen-only"> Email </label>
      <input size="1" type="email" name="form_fields[email]" id="form-field-email" class="elementor-field elementor-size-xs  elementor-field-textual" placeholder="Email" required="required" aria-required="true">
    </div>
    <div class="elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-message elementor-col-100">
      <label for="form-field-message" class="elementor-field-label elementor-screen-only"> Message </label>
      <textarea class="elementor-field-textual elementor-field  elementor-size-xs" name="form_fields[message]" id="form-field-message" rows="4" placeholder="Message"></textarea>
    </div>
    <div class="elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_1 elementor-col-100 elementor-field-required">
      <div class="elementor-field-subgroup">
        <span class="elementor-field-option">
          <input type="checkbox" name="form_fields[field_1]" id="form-field-field_1" class="elementor-field elementor-size-xs  elementor-acceptance-field" required="required" aria-required="true">
          <label for="form-field-field_1">I hereby consent to having this website store my submitted information so that they can respond to my inquiry.</label> </span>
      </div>
    </div>
    <div class="elementor-field-type-text">
      <input size="1" type="text" name="form_fields[field_2]" id="form-field-field_2" class="elementor-field elementor-size-xs " style="display:none !important;">
    </div>
    <div class="elementor-field-type-recaptcha_v3 elementor-field-group elementor-column elementor-field-group-field_d788513 elementor-col-100 recaptcha_v3-bottomright">
      <div class="elementor-field" id="form-field-field_d788513"></div>
    </div>
    <div class="elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons">
      <button class="elementor-button elementor-size-md" type="submit">
        <span class="elementor-button-content-wrapper">
          <span class="elementor-button-text">Submit</span>
        </span>
      </button>
    </div>
  </div>
</form>

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MENUMENU
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   * * * READ OUR LATEST CASE STUDY
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       * *NEW* Virtual Check-in and Arrival
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Get a Demo


800-597-6330


Search
Search
MENUMENU
 * Solutions
   * Hospital & Clinic Solutions
   * Teleradiology Solutions
   * Veterinary Radiology Solutions
   * Billing Solutions
   * Mobile Imaging Solutions
 * Applications
   
   
   * * * READ OUR LATEST CASE STUDY
     * * Q/ris 3000 Workflow
       * Q/ris Front Desk
       * Q/ris Automation
       * Reporting PLUS+
     * * Q/ris Connect EMR-PACS
       * Q/ris Patient Portal
       * Q/ris Reading Services
       * Q/ris Analytics
     * * Other Modules
       * *NEW* AI Findings Navigator
       * *NEW* Virtual Check-in and Arrival
       * *NEW* Caseload Assignment Engine
       * Billing
 * About Us
   
   * * * BRIDGE THE EMR-PACS GAP
         
         
         READ RECENT BLOG POST
     * * The Company
       * Financial Strength
       * Careers With medQ
     * * Global Expertise
       * Combined Resources
 * Resources
   * medQ News
   * medQ Theater
   * medQ Events
   * Downloads
 * Contact Us
   * Support Portal

Get a Demo


800-597-6330


Search
Search



WE HELP YOU AUTOMATE WORKFLOWS STAY CONNECTED SCHEDULE PATIENTS FASTER
STREAMLINE REPORTING PROCESS BILLING EASIER

Call 800-597-6330 or fill out the form.
A medQ Team member will get in touch with you soon.

Looking for Support? Visit the support page.

First Name
Last Name
Work Email
Phone Number
Company Name
Facility Type

Facility Type Imaging Center Hospital Single Site Multi-Site Reading Services
Women’s Health Veterinary Other
I’m particularly interested in...

I’m particularly interested in... Workflow Automation Potential Analysis Q/ris
3000 Imaging Workflow Automating ordering and scheduling Enhancing technologist
effectiveness Streamlining report creation Universal interoperability Remote
access Unified teleradiology Clinical analytics Add-on imaging workflow modules
Other

Submit



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