Pain Management , Practice Building

Practice Software & Technology, Part 2

Practice Software & Technology, Part 2
  •  
  •  
  •  
  •  
  •  
  •  
  •  

pdf_button


Travis Meredith, DVM, MBA, Diplomate ACT

This year’s Practice Building column has been focused on building today’s veterinary practice. The series is dedicated to providing readers insight into issues and resources that support long-term practice growth. Previous articles have focused on areas of investment, lending and capital access, marketing and client communication tools, and service expansion. Read these articles at tvpjournal.com.

This is the second installment of the 2-part series, Veterinary Practice Software & Technology. Part 1 (November/December 2014) highlighted distinguished features of 3 prominent practice information management systems and also introduced 4 emerging players in the field of management platforms.

As described in the previous installment in this series, the Practice Information Management System (PIMS) is the heartbeat of a practice. Every clinical and operational event runs through this regulator of a small business.

Table 1 lists the PIMS platforms reviewed in Part 1; in this article, we continue our review of common systems and introduce a new set of emerging players, focusing on:

  • Distinguishing features of each system
  • Recent or upcoming innovations and improvements
  • Common questions about current systems and migration to new technology.

TABLE 1.

PIMS Highlighted in Veterinary Practice

Software & Technology: Part 1

Animal Intelligence Software animalintelligence.com
Avimark avimark.net
ClienTrax clientraxtechnology.com
eVetpractice.com evetpractice.com
Impromed Infinity impromed.com
VetBlue eveterinarysoftware.com
VetPort vetport.com

IDEXX CORNERSTONE

Idexx Cornerstone (idexx.com/smallanimal/practice-management.html), owned by Idexx Laboratories of Portland, Maine, is marketed and sold as an integrated solution that solves the most important clinical and managerial needs of the private practice. In concert with other Idexx offerings, practices using Cornerstone have the ability to fully integrate the PIMS with external and internal laboratory diagnostic testing, diagnostic imaging equipment, client communication, and education services, as well as utilize a variety of marketing tools.

Technical Aspects

Cornerstone functions in a Windows environment that requires an operating system of Windows Vista to Windows 8.1, and the system can be configured to operate utilizing an onsite or offsite server. Cornerstone can also be configured to work with tablet devices, allowing practices flexibility when choosing equipment.

IDEXX recommends business class computers, printers, and peripherals, as well as high-speed wired connectivity, to ensure maximum performance. For more information on technical requirements, please see the Idexx Reference Library at idexx.com/smallanimal/practice-management.html.

System Hallmarks

In addition to well-known equipment integrations, Cornerstone offers several features that can help streamline workflow and improve patient management.

Compliance Assessment Tool. The Compliance Assessment Tool is an internal surveillance feature within Cornerstone that automatically alerts to gaps or opportunities in patient care. The tool may be utilized to:

  • Screen recent visit dates for patients
  • Identify additional care opportunities based on individual patient history
  • Track services by the provider
  • Financially quantify missed opportunities.

Enhanced Medical Notes. Operational bottlenecks in a practice are often related to errors caused by redundant or missed information. Cornerstone’s electronic medical notes system enables a practice to reduce errors through customizable templates that ensure consistency in medical records, and also features the ability to initiate diagnostic requests from within the workflow, including an automated process to capture services provided (including associated charges) and functionality to link medical information directly to the associated client’s take-home instructions.

Electronic Whiteboard. A real-time whiteboard enables a practice team to operate from a centralized directive in the hospital. The electronic whiteboard makes it easier for staff to track hospitalized patients and access patient information, and it allows a practice to customize or designate specific patient prompts, as well as predefine defaults for certain patient types.

Inventory Management. Through a partnership with MWI Veterinary Supply (mwivet.com), Cornerstone enables a practice to place MWI orders directly through Cornerstone, providing complete tracking of inventory from the original order through delivery to the pharmacy shelf.

Coming Attractions

The Idexx Pet Health Network is a proprietary client communication platform intended to reinforce a practice’s bond with their clients both during the examination room experience and between patient visits.

Subscribers can access a host of client communication and education tools, including:

  • Automated appointment confirmations
  • Client surveys
  • In-room education materials
  • Patient ID cards
  • Personalized patient reminders
  • Personalized pet pages
  • Practice newsletters and online review campaigns.

More detailed information about Pet Heath Network Pro can be found at pethealthnetworkpro.com.

Idexx is also the owner of DVMax Veterinary Practice Management Software, a PIMS compatible with both Windows and Mac systems. DVMax is marketed as an innovative and user-friendly PIMS solution for practices looking to become paperless. For more information on DVMax, visit dvmax.com.

INTRAVET

IntraVet (intravet.com), owned by Patterson Veterinary, Inc in Devens, Massachusetts (pattersonvet.com), is marketed as an easy to use, paperless or paper-light PIMS solution. The platform is designed as a single source management solution (everything operates in or around the PIMS) through its numerous integrations with diagnostic technologies, highly competent inventory tracking capabilities, and a proprietary client communication library of services.

Technical Aspects

IntraVet can be used as a single or multi-user system, and is compatible with most Windows operating systems and with tablets and wireless networks. It can be deployed as an onsite server system or set up for offsite server hosting. According to the company, more than half of all users utilize IntraVet for their hardware and networking needs as a total PIMS package. More information on technical requirements can be found at intravet.com/SoftwareOverview/Hardware.

System Hallmarks

IntraVet offers several features intended to enhance practice efficiency and speed, and improve medical record accuracy and financial performance.

Flexibility. IntraVet can be utilized as a system driven by medical notes or invoices, and it offers the user the flexibility to track medical records in SOAP (subjective, objective, assessment, plan) format as well as nonformatted notation. The system can import and store scanned documents, digital images, and radiographs and offers several automated features, including updates of treatments and laboratory results to invoices and patient histories.

The Control Center. The Control Center operates as a hub for hospital workflow, acting as a live census for staff to access patient status (admitted, discharged, no shows, etc) and view real-time client balances. Functioning as a virtual whiteboard, the Control Center allows the practice team to operate from a real-time hospital monitoring system rather than the traditional whiteboard method of patient tracking.

Reporting Center. Users can create a variety of performance reports using the reporting tools, including real-time inventory analysis, provider reports, transaction reports, and financial/ accounting reports. Reports can be printed and/or exported to Microsoft Excel and QuickBooks.

Inventory Tracking. IntraVet offers a real-time inventory control system to track common inventory values, such as average cost, ratios of products bought and sold (inventory turnover), tax recording, controlled substance consumption and inventory, dispensing fees, and discounts. The system is also capable of generating reports for inventory consumption and quantities of products on hand, and can create reorder lists and purchase histories over time or by vendor.

Coming Attractions

Product Support. One differentiating feature of the IntraVet platform is Patterson’s significant investment in product training and support. When a practice purchases the IntraVet software, they automatically receive 90 days of intensive support. After 90 days, a practice may elect one of several different levels of support, from a basic support program to 24-hour/7-day support, utilizing phone, email, or remote access capabilities.

ePetHealth. ePetHealth is a proprietary suite of client communication and education tools that integrates fully with the IntraVet PIMS. ePetHealth is a client-centric tool offering clients access to the following:

  • Client newsletters and surveys
  • Electronic reminders
  • Online articles and pet health videos
  • Patterson DIA—diagnostic imaging atlas
  • Online pet medical records.

To learn more, visit epethealth.com.

VIA INFORMATION SYSTEMS 

Information Systems (viainfosys.com), a VCA Antech Company, is marketed and sold as a user-friendly, workflow-oriented practice management solution. Operating since 1999, VIA offers many key features required for a paperless practice, including electronic medical records (EMR), patient schedulers, the ability to email direct from within the PIMS digital signature capture, and in-system payment processing.

Technical Aspects

VIA is a Microsoft Windows certified application that is compatible with Windows 7 and 8 Professional, Windows XP, Windows Server, and Windows Terminal Server. It is also compatible with Windows 8 Professional tablet computers, making it an option for practices interested in increasing staff mobility within the practice.

VIA is designed to be an onsite system, providing high-speed in-clinic access from workstations, desktops, wireless laptops, and tablets. The system is compatible with virtual private network (VPN) connections, allowing medical staff to remotely access medical records when away from the practice. For more information on hardware requirements, visit viainfosys.com/hardware.

System Hallmarks

VIA distinguishes itself from other PIMS through its own unique set of features intended to improve practice performance.

Flexible SOAP Templates. According to the company, VIA patient management templates were designed with the input of veterinarians, consultants, and key opinion leaders in the field of practice management. The system offers more than 25 built-in templates that can be utilized “as is” or customized to fit a specific practice’s needs.

Digital Whiteboard & Treatment Lists. VIA offers a central, real-time whiteboard that displays treatment lists, patient status, and an up-to-date financial balance for clients. Treatment flow sheets can be scheduled down to 10-minute intervals, allowing doctors increased flexibility in managing patients.

Mobile Accessibility. VIA Sync is a feature that houses the hospital database on a laptop so that mobile practitioners and house call veterinarians can access patient medical history, capture medical notes, and update client information and billing offline. Once returned to the practice, VIA Sync synchronizes the mobile computer to the hospital, updating changes to the hospital database.

On Demand Practice Analysis. VIA offers desktop dashboards that provide on-demand access to common practice performance metrics, including invoices created and/or pending, medical notes created and/or pending, laboratory order requisitions and results, and client recall reminders. Dashboard views can display total practice metrics or be drilled down to individual provider detail, which gives an enhanced view of individual provider metrics.

Coming Attractions

Multiple Location Capabilities. VIA Business Center utilizes enterprise level functionality that enables centralized management and access to client records, patient records, and schedules for hospitals with multiple locations. The system allows an owner/manager to manage inventory centrally but track usage by location, eliminate duplication of patient charts between locations, utilize common coding in all locations, and report and analyze practice performance individually or aggregated to all locations.

Emergency Room, Specialty, & Referral Hospital Software. VIA provides features and functions intended to support specialty and emergency practice workflows. These include specialty and emergency room specific SOAP note templates, flexibility to track numerous providers per case, advanced inventory integration with the Cubex inventory control cabinet system, and ability to track caseload and revenue volume by referral source.

COST OF IMPLEMENTATION

Cornerstone, Intravet, and VIA are all configurable systems based on the individual needs of a practice. Therefore, the required investment will vary significantly among practices based on the number of workstations deployed, inclusion or exclusion of hardware, networking services, and the quantity of training and support required to effectively launch the system into a practice.

NEW PIMS PRODUCTS

Several new entrants to the PIMS marketplace are bringing new innovations and improvements to the way veterinary practices operate.

BeeFree Vet (beefreesoftware.com)
Although new to the U.S. market, BeeFree Vet is a cloud-based PIMS that has been used by practices in the United Kingdom and Australia for more than 7 years. As a cloud-based PIMS, it can be utilized on computers, tablets, and smartphones with an Internet connection.

BeeFree Vet offers several intriguing features, such as a real-time scheduler for clients, individualized doctor portals, and an internal electronic reminder system.

Rx Works (rxworks.com)

Rx Works has been providing PIMS to the veterinary world since 1988. The Rx Practice+ platform utilizes the medical record as the driver for all workflow features, tying all invoicing, reminders, and other patient features to specific medical inputs.

Rx Works utilizes a proactive approach to patient reminders, automatically following up with clients who do not respond and tracking reminder efficacy and response rates by the method they were delivered (email, text, or print).

Onward Vet (onwardvet.com)

Onward Vet is marketed as a cloud- and web-based paperless software product that offers practices an easy-to-use PIMS that simplifies common tasks of keeping records, tracking patient progress, and supporting ongoing hospital operations. As a cloud-based solution, Onward Vet is not dependent on specific hardware requirements and offers users technical flexibility with only a limited investment. The system offers many features of larger systems, including EMR, inventory tracking, performance reporting, and digital whiteboards.

ezyVet (ezyvet.com)

ezyVet was founded in 2006 as a cloud-based PIMS solution. The PIMS is constructed on open source technologies (unique for veterinary PIMS) that are freely available for the public to view, edit, and redistribute. ezyVet has 2-way integration to share data with Xero (xero.com/us), a leading provider of cloud-based accounting software that improves management efficiency. The system offers many features of other PIMS, including appointment calendars, laboratory integrations, and patient reminder systems.

WHICH SYSTEM IS RIGHT FOR ME?

Making the jump to a new PIMS is a big decision for any practice. Beyond the system itself, any conversion requires hours of time and financial resources associated with potential hardware and networking investments, data conversion processing, staff training, installation, and troubleshooting once a system is launched. If you are thinking about making a switch in your PIMS, consider the following questions and what’s right for your specific situation.

  1. What’s most important to me? Do you want a system that’s economical, feature driven, user-friendly, and/or mobile capable? Each PIMS offers a host of features, but no PIMS offers all of them.
  2. What features will my staff use most often? You might be excited about a new platform, but is your team likely to appreciate and utilize a digital whiteboard? Will that make your day run smoother or add frustration to what you’re already doing?
  3. What am I willing to invest? Making a PIMS change is a financial investment regardless of the system you choose. Are you better off purchasing an off-the-shelf solution with unlimited licenses, a cloud-based solution, or a scalable system that charges by the number of workstations?
  4. Do I want a cloud-based or server-based system? The most important part of any PIMS is where it stores your practice data. Each PIMS is different in its data storage capabilities, including:
    • Local servers (server is onsite at your hospital)
    • Offsite servers (workstations are at your hospital, but the server that houses data is off site in another specialized facility)
    • Cloud-based solutions (practice data is housed in the cloud and accessible from many locations).

IN SUMMARY

The veterinary PIMS market is dynamic, with established brands constantly evolving their individual products and new technologies emerging that challenge the norm. Each system is different in its technology, key clinical features, integrations, and accessibility, which offers practices and their teams numerous options for choosing a solution that best fits their individual needs.
DIA = diagnostic imaging atlas; EMR = electronic medical records; PIMS = practice information management system; SOAP = subjective, objective, assessment, plan; VPN = virtual private network

Travis MeredithTravis Meredith, DVM, MBA, Diplomate ACT, is the Contributing Medical Editor for Today’s Veterinary Practice; co-owner of Affinity Veterinary Center, Malvern, Pennsylvania; and Director of Member Services for Calico Group, Philadelphia, Pennsylvania. He received his DVM from Texas A&M University and his MBA from University of North Carolina—Chapel Hill.

DMCA.com Protection Status
[gravityform id="6" title="false" description="false"]
<div class='gf_browser_unknown gform_wrapper' id='gform_wrapper_6' style='display:none'><form method='post' enctype='multipart/form-data' id='gform_6' action='/practice-software-technology-part-2/'> <div class='gform_body'><ul id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_below'><li id='field_6_1' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' >Name<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_6_1'> <span id='input_6_1_3_container' class='name_first' > <input type='text' name='input_1.3' id='input_6_1_3' value='' aria-label='First name' aria-required="true" aria-invalid="false" /> <label for='input_6_1_3' >First</label> </span> <span id='input_6_1_6_container' class='name_last' > <input type='text' name='input_1.6' id='input_6_1_6' value='' aria-label='Last name' aria-required="true" aria-invalid="false" /> <label for='input_6_1_6' >Last</label> </span> </div></li><li id='field_6_2' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_6_2' >Email<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_email'> <input name='input_2' id='input_6_2' type='text' value='' class='medium' aria-required="true" aria-invalid="false" /> </div></li><li id='field_6_7' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_6_7' >Profession / Role<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_6_7' class='medium gfield_select' aria-required="true" aria-invalid="false"><option value='Veterinarian' >Veterinarian</option><option value='Veterinary Nurse / Technician' >Veterinary Nurse / Technician</option><option value='Practice Manager / Veterinary Assistant / Support Staff' >Practice Manager / Veterinary Assistant / Support Staff</option><option value='Student (Veterinarian or Veterinary Nurse)' >Student (Veterinarian or Veterinary Nurse)</option><option value='Other' >Other</option></select></div></li><li id='field_6_20' class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible' ><br></li><li id='field_6_15' class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' >Inbox Preferences</label><div class='gfield_description' id='gfield_description_6_15'>Customize your inbox by selecting the areas you are most interested in. </div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_15'><li class='gchoice_6_15_1'> <input name='input_15.1' type='checkbox' value='NAVC Better Care Weekly&lt;br&gt;&lt;div style=&quot;font-size: 12px;color: #808080&quot;&gt;A weekly roundup of the new and noteworthy innovations and educational opportunities in the veterinary industry.&lt;/div&gt;' checked='checked' id='choice_6_15_1' /> <label for='choice_6_15_1' id='label_6_15_1'>NAVC Better Care Weekly<br><div style="font-size: 12px; color: #808080;">A weekly roundup of the new and noteworthy innovations and educational opportunities in the veterinary industry.</div></label> </li><li class='gchoice_6_15_2'> <input name='input_15.2' type='checkbox' value='Today&#039;s Veterinary Business eNewsletter&lt;br&gt;&lt;div style=&quot;font-size: 12px;color: #808080&quot;&gt;Covers topics relating to practice management, financial metrics, marketing, retailing and merchandising, and industry news.&lt;/div&gt;' id='choice_6_15_2' /> <label for='choice_6_15_2' id='label_6_15_2'>Today's Veterinary Business eNewsletter<br><div style="font-size: 12px; color: #808080;">Covers topics relating to practice management, financial metrics, marketing, retailing and merchandising, and industry news.</div></label> </li><li class='gchoice_6_15_3'> <input name='input_15.3' type='checkbox' value='Today&#039;s Veterinary Nurse eNewsletter&lt;br&gt;&lt;div style=&quot;font-size: 12px;color: #808080&quot;&gt;Provides practical, peer-reviewed companion animal educational CE for veterinary nurses, technicians and assistants.&lt;/div&gt;' id='choice_6_15_3' /> <label for='choice_6_15_3' id='label_6_15_3'>Today's Veterinary Nurse eNewsletter<br><div style="font-size: 12px; color: #808080;">Provides practical, peer-reviewed companion animal educational CE for veterinary nurses, technicians and assistants.</div></label> </li><li class='gchoice_6_15_4'> <input name='input_15.4' type='checkbox' value='Today&#039;s Veterinary Practice eNewsletter&lt;br&gt;&lt;div style=&quot;font-size: 12px;color: #808080&quot;&gt;Provides practical, peer-reviewed articles focused on the latest diagnostic and treatment techniques to enhance your knowledge and confidence.&lt;/div&gt;' id='choice_6_15_4' /> <label for='choice_6_15_4' id='label_6_15_4'>Today's Veterinary Practice eNewsletter<br><div style="font-size: 12px; color: #808080;">Provides practical, peer-reviewed articles focused on the latest diagnostic and treatment techniques to enhance your knowledge and confidence.</div></label> </li><li class='gchoice_6_15_5'> <input name='input_15.5' type='checkbox' value='VetFolio eNewsletter&lt;br&gt;&lt;div style=&quot;font-size: 12px;color: #808080&quot;&gt;Discover online CE resources offered in a variety of formats including videos, podcasts, webinars and more.&lt;/div&gt;' id='choice_6_15_5' /> <label for='choice_6_15_5' id='label_6_15_5'>VetFolio eNewsletter<br><div style="font-size: 12px; color: #808080;">Discover online CE resources offered in a variety of formats including videos, podcasts, webinars and more.</div></label> </li><li class='gchoice_6_15_6'> <input name='input_15.6' type='checkbox' value='Partner Emails&lt;br&gt;&lt;div style=&quot;font-size: 12px;color: #808080&quot;&gt;Exclusive deals and information from our partners.&lt;/div&gt;' id='choice_6_15_6' /> <label for='choice_6_15_6' id='label_6_15_6'>Partner Emails<br><div style="font-size: 12px; color: #808080;">Exclusive deals and information from our partners.</div></label> </li></ul></div></li><li id='field_6_19' class='gfield gfield_html gfield_html_formatted field_sublabel_below field_description_below gfield_visibility_visible' ><br></li><li id='field_6_22' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' >Do you want to be added to our postal mailing list?</label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_22'><li class='gchoice_6_22_1'> <input name='input_22.1' type='checkbox' value='Yes, I love mail!' id='choice_6_22_1' /> <label for='choice_6_22_1' id='label_6_22_1'>Yes, I love mail!</label> </li><li class='gchoice_6_22_2'> <input name='input_22.2' type='checkbox' value='No thank you.' id='choice_6_22_2' /> <label for='choice_6_22_2' id='label_6_22_2'>No thank you.</label> </li></ul></div></li><li id='field_6_10' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' >Please provide your mailing address below.<span class='gfield_required'>*</span></label> <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address' id='input_6_10' > <span class='ginput_full address_line_1' id='input_6_10_1_container' > <input type='text' name='input_10.1' id='input_6_10_1' value='' aria-required="true"/> <label for='input_6_10_1' id='input_6_10_1_label' >Street Address</label> </span><span class='ginput_full address_line_2' id='input_6_10_2_container' > <input type='text' name='input_10.2' id='input_6_10_2' value='' /> <label for='input_6_10_2' id='input_6_10_2_label' >Address Line 2</label> </span><span class='ginput_left address_city' id='input_6_10_3_container' > <input type='text' name='input_10.3' id='input_6_10_3' value='' aria-required="true"/> <label for='input_6_10_3' id='input_6_10_3_label' >City</label> </span><span class='ginput_right address_state' id='input_6_10_4_container' > <input type='text' name='input_10.4' id='input_6_10_4' value='' aria-required="true"/> <label for='input_6_10_4' id='input_6_10_4_label' >State / Province / Region</label> </span><span class='ginput_left address_zip' id='input_6_10_5_container' > <input type='text' name='input_10.5' id='input_6_10_5' value='' aria-required="true"/> <label for='input_6_10_5' id='input_6_10_5_label' >ZIP / Postal Code</label> </span><span class='ginput_right address_country' id='input_6_10_6_container' > <select name='input_10.6' id='input_6_10_6' aria-required="true"><option value='' selected='selected'></option><option value='Afghanistan' >Afghanistan</option><option value='Åland Islands' >Åland Islands</option><option value='Albania' >Albania</option><option value='Algeria' >Algeria</option><option value='American Samoa' >American Samoa</option><option value='Andorra' >Andorra</option><option value='Angola' >Angola</option><option value='Anguilla' >Anguilla</option><option value='Antarctica' >Antarctica</option><option value='Antigua and Barbuda' >Antigua and Barbuda</option><option value='Argentina' >Argentina</option><option value='Armenia' >Armenia</option><option value='Aruba' >Aruba</option><option value='Australia' >Australia</option><option value='Austria' >Austria</option><option value='Azerbaijan' >Azerbaijan</option><option value='Bahamas' >Bahamas</option><option value='Bahrain' >Bahrain</option><option value='Bangladesh' >Bangladesh</option><option value='Barbados' >Barbados</option><option value='Belarus' >Belarus</option><option value='Belgium' >Belgium</option><option value='Belize' >Belize</option><option value='Benin' >Benin</option><option value='Bermuda' >Bermuda</option><option value='Bhutan' >Bhutan</option><option value='Bolivia' >Bolivia</option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba</option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina</option><option value='Botswana' >Botswana</option><option value='Bouvet Island' >Bouvet Island</option><option value='Brazil' >Brazil</option><option value='British Indian Ocean Territory' >British Indian Ocean Territory</option><option value='Brunei Darussalam' >Brunei Darussalam</option><option value='Bulgaria' >Bulgaria</option><option value='Burkina Faso' >Burkina Faso</option><option value='Burundi' >Burundi</option><option value='Cambodia' >Cambodia</option><option value='Cameroon' >Cameroon</option><option value='Canada' >Canada</option><option value='Cape Verde' >Cape Verde</option><option value='Cayman Islands' >Cayman Islands</option><option value='Central African Republic' >Central African Republic</option><option value='Chad' >Chad</option><option value='Chile' >Chile</option><option value='China' >China</option><option value='Christmas Island' >Christmas Island</option><option value='Cocos Islands' >Cocos Islands</option><option value='Colombia' >Colombia</option><option value='Comoros' >Comoros</option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the</option><option value='Congo, Republic of the' >Congo, Republic of the</option><option value='Cook Islands' >Cook Islands</option><option value='Costa Rica' >Costa Rica</option><option value='Côte d&#039;Ivoire' >Côte d&#039;Ivoire</option><option value='Croatia' >Croatia</option><option value='Cuba' >Cuba</option><option value='Curaçao' >Curaçao</option><option value='Cyprus' >Cyprus</option><option value='Czech Republic' >Czech Republic</option><option value='Denmark' >Denmark</option><option value='Djibouti' >Djibouti</option><option value='Dominica' >Dominica</option><option value='Dominican Republic' >Dominican Republic</option><option value='Ecuador' >Ecuador</option><option value='Egypt' >Egypt</option><option value='El Salvador' >El Salvador</option><option value='Equatorial Guinea' >Equatorial Guinea</option><option value='Eritrea' >Eritrea</option><option value='Estonia' >Estonia</option><option value='Eswatini (Swaziland)' >Eswatini (Swaziland)</option><option value='Ethiopia' >Ethiopia</option><option value='Falkland Islands' >Falkland Islands</option><option value='Faroe Islands' >Faroe Islands</option><option value='Fiji' >Fiji</option><option value='Finland' >Finland</option><option value='France' >France</option><option value='French Guiana' >French Guiana</option><option value='French Polynesia' >French Polynesia</option><option value='French Southern Territories' >French Southern Territories</option><option value='Gabon' >Gabon</option><option value='Gambia' >Gambia</option><option value='Georgia' >Georgia</option><option value='Germany' >Germany</option><option value='Ghana' >Ghana</option><option value='Gibraltar' >Gibraltar</option><option value='Greece' >Greece</option><option value='Greenland' >Greenland</option><option value='Grenada' >Grenada</option><option value='Guadeloupe' >Guadeloupe</option><option value='Guam' >Guam</option><option value='Guatemala' >Guatemala</option><option value='Guernsey' >Guernsey</option><option value='Guinea' >Guinea</option><option value='Guinea-Bissau' >Guinea-Bissau</option><option value='Guyana' >Guyana</option><option value='Haiti' >Haiti</option><option value='Heard and McDonald Islands' >Heard and McDonald Islands</option><option value='Holy See' >Holy See</option><option value='Honduras' >Honduras</option><option value='Hong Kong' >Hong Kong</option><option value='Hungary' >Hungary</option><option value='Iceland' >Iceland</option><option value='India' >India</option><option value='Indonesia' >Indonesia</option><option value='Iran' >Iran</option><option value='Iraq' >Iraq</option><option value='Ireland' >Ireland</option><option value='Isle of Man' >Isle of Man</option><option value='Israel' >Israel</option><option value='Italy' >Italy</option><option value='Jamaica' >Jamaica</option><option value='Japan' >Japan</option><option value='Jersey' >Jersey</option><option value='Jordan' >Jordan</option><option value='Kazakhstan' >Kazakhstan</option><option value='Kenya' >Kenya</option><option value='Kiribati' >Kiribati</option><option value='Kuwait' >Kuwait</option><option value='Kyrgyzstan' >Kyrgyzstan</option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic</option><option value='Latvia' >Latvia</option><option value='Lebanon' >Lebanon</option><option value='Lesotho' >Lesotho</option><option value='Liberia' >Liberia</option><option value='Libya' >Libya</option><option value='Liechtenstein' >Liechtenstein</option><option value='Lithuania' >Lithuania</option><option value='Luxembourg' >Luxembourg</option><option value='Macau' >Macau</option><option value='Macedonia' >Macedonia</option><option value='Madagascar' >Madagascar</option><option value='Malawi' >Malawi</option><option value='Malaysia' >Malaysia</option><option value='Maldives' >Maldives</option><option value='Mali' >Mali</option><option value='Malta' >Malta</option><option value='Marshall Islands' >Marshall Islands</option><option value='Martinique' >Martinique</option><option value='Mauritania' >Mauritania</option><option value='Mauritius' >Mauritius</option><option value='Mayotte' >Mayotte</option><option value='Mexico' >Mexico</option><option value='Micronesia' >Micronesia</option><option value='Moldova' >Moldova</option><option value='Monaco' >Monaco</option><option value='Mongolia' >Mongolia</option><option value='Montenegro' >Montenegro</option><option value='Montserrat' >Montserrat</option><option value='Morocco' >Morocco</option><option value='Mozambique' >Mozambique</option><option value='Myanmar' >Myanmar</option><option value='Namibia' >Namibia</option><option value='Nauru' >Nauru</option><option value='Nepal' >Nepal</option><option value='Netherlands' >Netherlands</option><option value='New Caledonia' >New Caledonia</option><option value='New Zealand' >New Zealand</option><option value='Nicaragua' >Nicaragua</option><option value='Niger' >Niger</option><option value='Nigeria' >Nigeria</option><option value='Niue' >Niue</option><option value='Norfolk Island' >Norfolk Island</option><option value='North Korea' >North Korea</option><option value='Northern Mariana Islands' >Northern Mariana Islands</option><option value='Norway' >Norway</option><option value='Oman' >Oman</option><option value='Pakistan' >Pakistan</option><option value='Palau' >Palau</option><option value='Palestine, State of' >Palestine, State of</option><option value='Panama' >Panama</option><option value='Papua New Guinea' >Papua New Guinea</option><option value='Paraguay' >Paraguay</option><option value='Peru' >Peru</option><option value='Philippines' >Philippines</option><option value='Pitcairn' >Pitcairn</option><option value='Poland' >Poland</option><option value='Portugal' >Portugal</option><option value='Puerto Rico' >Puerto Rico</option><option value='Qatar' >Qatar</option><option value='Réunion' >Réunion</option><option value='Romania' >Romania</option><option value='Russia' >Russia</option><option value='Rwanda' >Rwanda</option><option value='Saint Barthélemy' >Saint Barthélemy</option><option value='Saint Helena' >Saint Helena</option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis</option><option value='Saint Lucia' >Saint Lucia</option><option value='Saint Martin' >Saint Martin</option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon</option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines</option><option value='Samoa' >Samoa</option><option value='San Marino' >San Marino</option><option value='Sao Tome and Principe' >Sao Tome and Principe</option><option value='Saudi Arabia' >Saudi Arabia</option><option value='Senegal' >Senegal</option><option value='Serbia' >Serbia</option><option value='Seychelles' >Seychelles</option><option value='Sierra Leone' >Sierra Leone</option><option value='Singapore' >Singapore</option><option value='Sint Maarten' >Sint Maarten</option><option value='Slovakia' >Slovakia</option><option value='Slovenia' >Slovenia</option><option value='Solomon Islands' >Solomon Islands</option><option value='Somalia' >Somalia</option><option value='South Africa' >South Africa</option><option value='South Georgia' >South Georgia</option><option value='South Korea' >South Korea</option><option value='South Sudan' >South Sudan</option><option value='Spain' >Spain</option><option value='Sri Lanka' >Sri Lanka</option><option value='Sudan' >Sudan</option><option value='Suriname' >Suriname</option><option value='Svalbard and Jan Mayen Islands' >Svalbard and Jan Mayen Islands</option><option value='Sweden' >Sweden</option><option value='Switzerland' >Switzerland</option><option value='Syria' >Syria</option><option value='Taiwan' >Taiwan</option><option value='Tajikistan' >Tajikistan</option><option value='Tanzania' >Tanzania</option><option value='Thailand' >Thailand</option><option value='Timor-Leste' >Timor-Leste</option><option value='Togo' >Togo</option><option value='Tokelau' >Tokelau</option><option value='Tonga' >Tonga</option><option value='Trinidad and Tobago' >Trinidad and Tobago</option><option value='Tunisia' >Tunisia</option><option value='Turkey' >Turkey</option><option value='Turkmenistan' >Turkmenistan</option><option value='Turks and Caicos Islands' >Turks and Caicos Islands</option><option value='Tuvalu' >Tuvalu</option><option value='Uganda' >Uganda</option><option value='Ukraine' >Ukraine</option><option value='United Arab Emirates' >United Arab Emirates</option><option value='United Kingdom' >United Kingdom</option><option value='United States' >United States</option><option value='Uruguay' >Uruguay</option><option value='US Minor Outlying Islands' >US Minor Outlying Islands</option><option value='Uzbekistan' >Uzbekistan</option><option value='Vanuatu' >Vanuatu</option><option value='Venezuela' >Venezuela</option><option value='Vietnam' >Vietnam</option><option value='Virgin Islands, British' >Virgin Islands, British</option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.</option><option value='Wallis and Futuna' >Wallis and Futuna</option><option value='Western Sahara' >Western Sahara</option><option value='Yemen' >Yemen</option><option value='Zambia' >Zambia</option><option value='Zimbabwe' >Zimbabwe</option></select> <label for='input_6_10_6' id='input_6_10_6_label' >Country</label> </span> <div class='gf_clear gf_clear_complex'></div> </div></li> </ul></div> <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_6' class='gform_button button' value='Sign Up' onclick='if(window["gf_submitting_6"]){return false;} window["gf_submitting_6"]=true; ' onkeypress='if( event.keyCode == 13 ){ if(window["gf_submitting_6"]){return false;} window["gf_submitting_6"]=true; jQuery("#gform_6").trigger("submit",[true]); }' /> <input type='hidden' class='gform_hidden' name='is_submit_6' value='1' /> <input type='hidden' class='gform_hidden' name='gform_submit' value='6' /> <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' /> <input type='hidden' class='gform_hidden' name='state_6' value='WyJbXSIsIjNkNTNhNjhlOThlOGY4N2JlZWZiNTRmZDhlZDQ5OWI3Il0=' /> <input type='hidden' class='gform_hidden' name='gform_target_page_number_6' id='gform_target_page_number_6' value='0' /> <input type='hidden' class='gform_hidden' name='gform_source_page_number_6' id='gform_source_page_number_6' value='1' /> <input type='hidden' name='gform_field_values' value='' /> </div> </form> </div><script type='text/javascript'> jQuery(document).bind('gform_post_render', function(event, formId, currentPage){if(formId == 6) {gf_global["number_formats"][6] = {"1":{"price":false,"value":false},"2":{"price":false,"value":false},"7":{"price":false,"value":false},"20":{"price":false,"value":false},"15":{"price":false,"value":false},"19":{"price":false,"value":false},"22":{"price":false,"value":false},"10":{"price":false,"value":false}};if(window['jQuery']){if(!window['gf_form_conditional_logic'])window['gf_form_conditional_logic'] = new Array();window['gf_form_conditional_logic'][6] = { logic: { 10: {"field":{"actionType":"show","logicType":"any","rules":[{"fieldId":"22","operator":"is","value":"Yes, I love mail!"}]},"nextButton":null,"section":null} }, dependents: { 10: [10] }, animation: 1, defaults: {"1":{"1.2":"","1.3":"","1.4":"","1.6":"","1.8":""},"15":["choice_6_15_1"],"10":{"10.1":"","10.2":"","10.3":"","10.4":"","10.5":"","10.6":""}}, fields: {"1":[],"2":[],"7":[],"20":[],"15":[],"19":[],"22":[10],"10":[]} }; if(!window['gf_number_format'])window['gf_number_format'] = 'decimal_dot';jQuery(document).ready(function(){gf_apply_rules(6, [10], true);jQuery('#gform_wrapper_6').show();jQuery(document).trigger('gform_post_conditional_logic', [6, null, true]);} );} gformInitChosenFields('#input_6_7','No results matched');} } );jQuery(document).bind('gform_post_conditional_logic', function(event, formId, fields, isInit){gformInitChosenFields('#input_6_7','No results matched');} );</script><script type='text/javascript'> jQuery(document).ready(function(){jQuery(document).trigger('gform_post_render', [6, 1]) } ); </script>
MENU