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Request a pilot trial

We're opening a small pilot to clinic owners and practice leaders. Tell us who you are and what you'd like liaisonIQ to help with, and confirm a few ground rules. We'll follow up by email.

About you and your clinic

We use this only to evaluate and run the pilot.

What problem are you trying to solve, and what would make the pilot a success for you?

Please don't include any patient information here — no names, dates of birth, contact details, medical record or insurance numbers, diagnoses, or referral orders. Describe the workflow, not the patient. We scan this field and may delete suspected patient information without notice.

Pilot ground rules

Please read and confirm each statement. Your confirmation is recorded with the date, time, and form version.

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By submitting, you agree to our Terms (see Pilot Program, No Patient Information and Referral Data) and Privacy Policy. See also our AI Usage Policy. This form governs your pilot request. If we sign a separate Pilot Agreement, that agreement governs the pilot. liaisonIQ is provided by NexReach, LLC.