go.nethealth.com Open in urlscan Pro
52.21.178.134  Public Scan

Form analysis
1 forms found in the DOM

POST https://go.nethealth.com/HomeHealth_Efficiency_Toolkit#

<form accept-charset="UTF-8" method="post" action="https://go.nethealth.com/HomeHealth_Efficiency_Toolkit#" class="form" id="pardot-form" __bizdiag="1859934193" __biza="WJ__">
  <style type="text/css">
    form.form p label {
      color: #000000;
    }
  </style>
  <p style="text-align: center;"><strong>Complete the form to access the toolkit.</strong></p>
  <div class="form-group form-field  email pd-text required    ">
    <label class="field-label" for="125911_146780pi_125911_146780">Email</label>
    <input type="text" name="125911_146780pi_125911_146780" id="125911_146780pi_125911_146780" value="" class="text form-control" size="30" maxlength="255" onchange="piAjax.auditEmailField(this, 125911, 146780, 162426410);" onfocus=""
      data-gaconnector-tracked="true">
  </div>
  <div id="error_for_125911_146780pi_125911_146780" style="display:none"></div>
  <div class="form-group form-field  first_name pd-text required    ">
    <label class="field-label" for="125911_146782pi_125911_146782">First Name</label>
    <input type="text" name="125911_146782pi_125911_146782" id="125911_146782pi_125911_146782" value="" class="text form-control" size="30" maxlength="40" onchange="" onfocus="" data-gaconnector-tracked="true">
  </div>
  <div id="error_for_125911_146782pi_125911_146782" style="display:none"></div>
  <div class="form-group form-field  last_name pd-text required    ">
    <label class="field-label" for="125911_146784pi_125911_146784">Last Name</label>
    <input type="text" name="125911_146784pi_125911_146784" id="125911_146784pi_125911_146784" value="" class="text form-control" size="30" maxlength="80" onchange="" onfocus="" data-gaconnector-tracked="true">
  </div>
  <div id="error_for_125911_146784pi_125911_146784" style="display:none"></div>
  <div class="form-group form-field  phone pd-text required    ">
    <label class="field-label" for="125911_146786pi_125911_146786">Phone</label>
    <input type="text" name="125911_146786pi_125911_146786" id="125911_146786pi_125911_146786" value="" class="text form-control" size="30" maxlength="40" onchange="" onfocus="" data-gaconnector-tracked="true">
  </div>
  <div id="error_for_125911_146786pi_125911_146786" style="display:none"></div>
  <div class="form-group form-field  company pd-text required    ">
    <label class="field-label" for="125911_146788pi_125911_146788">Company</label>
    <input type="text" name="125911_146788pi_125911_146788" id="125911_146788pi_125911_146788" value="" class="text form-control" size="30" maxlength="255" onchange="" onfocus="" data-gaconnector-tracked="true">
  </div>
  <div id="error_for_125911_146788pi_125911_146788" style="display:none"></div>
  <div class="form-group form-field  state pd-select required    ">
    <label class="field-label" for="125911_146790pi_125911_146790">State</label>
    <select name="125911_146790pi_125911_146790" id="125911_146790pi_125911_146790" class="select form-control" onchange="">
      <option value="" selected=""></option>
      <option value="2119344">Alabama</option>
      <option value="2119346">Alaska</option>
      <option value="2119348">Arizona</option>
      <option value="2119350">Arkansas</option>
      <option value="2119352">California</option>
      <option value="2119354">Colorado</option>
      <option value="2119356">Connecticut</option>
      <option value="2119358">Delaware</option>
      <option value="2119360">District of Columbia</option>
      <option value="2119362">Florida</option>
      <option value="2119364">Georgia</option>
      <option value="2119366">Hawaii</option>
      <option value="2119368">Idaho</option>
      <option value="2119370">Illinois</option>
      <option value="2119372">Indiana</option>
      <option value="2119374">Iowa</option>
      <option value="2119376">Kansas</option>
      <option value="2119378">Kentucky</option>
      <option value="2119380">Louisiana</option>
      <option value="2119382">Maine</option>
      <option value="2119384">Maryland</option>
      <option value="2119386">Massachusetts</option>
      <option value="2119388">Michigan</option>
      <option value="2119390">Minnesota</option>
      <option value="2119392">Mississippi</option>
      <option value="2119394">Missouri</option>
      <option value="2119396">Montana</option>
      <option value="2119398">Nebraska</option>
      <option value="2119400">Nevada</option>
      <option value="2119402">New Hampshire</option>
      <option value="2119404">New Jersey</option>
      <option value="2119406">New Mexico</option>
      <option value="2119408">New York</option>
      <option value="2119410">North Carolina</option>
      <option value="2119412">North Dakota</option>
      <option value="2119414">Ohio</option>
      <option value="2119416">Oklahoma</option>
      <option value="2119418">Oregon</option>
      <option value="2119420">Pennsylvania</option>
      <option value="2119422">Rhode Island</option>
      <option value="2119424">South Carolina</option>
      <option value="2119426">South Dakota</option>
      <option value="2119428">Tennessee</option>
      <option value="2119430">Texas</option>
      <option value="2119432">Utah</option>
      <option value="2119434">Vermont</option>
      <option value="2119436">Virginia</option>
      <option value="2119438">Washington</option>
      <option value="2119440">West Virginia</option>
      <option value="2119442">Wisconsin</option>
      <option value="2119444">Wyoming</option>
    </select>
  </div>
  <div id="error_for_125911_146790pi_125911_146790" style="display:none"></div>
  <p style="position:absolute; width:190px; left:-9999px; top: -9999px;visibility:hidden;">
    <label for="pi_extra_field">Comments</label>
    <input type="text" name="pi_extra_field" id="pi_extra_field" data-gaconnector-tracked="true">
  </p>
  <!-- forces IE5-8 to correctly submit UTF8 content  -->
  <input name="_utf8" type="hidden" value="☃" data-gaconnector-tracked="true">
  <div class="submit form-action">
    <input type="submit" class="btn btn-primary" accesskey="s" value="SUBMIT" data-gaconnector-tracked="true">
  </div>
  <script type="text/javascript">
    //<![CDATA[
    var anchors = document.getElementsByTagName("a");
    for (var i = 0; i < anchors.length; i++) {
      var anchor = anchors[i];
      if (anchor.getAttribute("href") && !anchor.getAttribute("target")) {
        anchor.target = "_top";
      }
    }
    //]]>
  </script><input type="hidden" name="hiddenDependentFields" id="hiddenDependentFields" value="" data-gaconnector-tracked="true">
</form>

Text Content

+1 800.411.6281

TOOLKIT


HOME HEALTH EFFICIENCY TOOLKIT

Scheduling, Billing, Compliance Notifications, and more!

DOWNLOAD THE TOOLKIT


MAXIMIZE EFFICIENCY, WHILE MAINTAINING FOCUS ON THE PATIENT

With the rapid growth in Home Health, the shortage of staff, and ever-changing
compliance rules and regulations it's more important now, more than ever to
maximize efficiencies in all areas of operation. We have put together four
resources to help you manage and increase such efficiencies.

The Home Health Efficiency Toolkit includes:

 * Home Health Billing Challenges? Four Simple Solutions at Your Fingertips
 * Streamlining Home Health Visits and Scheduling
 * The Benefits of Alerts and Notifications for Home Health Care Ways Home
   Health and Hospice
 * IDG/IDT Teams Can Collaborate Remotely

Want to see how the right Home & Hospice EHR can help you become more
efficient? Chat live with a Net Health specialist.

Complete the form to access the toolkit.

Email

First Name

Last Name

Phone

Company

State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict
of
ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth
DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth
DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming


Comments




HOME HEALTH EFFICIENCY TOOLKIT



DOWNLOAD NOW

+1 800.411.6281

   
 * Privacy Policy

© 2021 Net Health All Rights Reserved