First Name *

Last Name *

Biocanic Login Email *

Please use the email that was used to signup for Biocanic so we can connect the correct account.

Email Display Name *

Example: Dr. Healthy's Office

Phone

Approximate Number of Clients

What is the provider login URL for Cerbo? *

Where would you like the link to the Biocanic account to be set? *

Do you want completed assessments in Biocanic synced to Cer.bo encounters?

Yes

No

Do you want Biocanic notes, to sync to Cer.bo encounters?

Yes

No

Would you like Encounters to sync to Biocanic notes? *

Yes

No

Do you want all practitioners to have access to all patients?

Yes

No

Do you want clients to receive the Welcome Email from Biocanic?

Yes

No

Do you want clients to be notified in Biocanic when a new note is created from an encounter?

Yes, notify clients when a new note is created.

No, do not notify clients when a new note is created.

Would you like to import existing patients? *

Yes

No

How many patients would you like to copy from Cerbo to Biocanic? *

Copy all patients from Cerbo to Biocanic.

Copy all "active" patients from Cerbo to Biocanic.

Only copy select patients - I will provide the patient IDs for the ones I want set up in Biocanic.

Do not copy any patients into Biocanic at this time.

Do you want labs viewable to patients?

Yes

No

Import only - by default new labs will be toggled off for patients.

By signing below, you hereby attest that you are an authorized member of the clinic to enable the integration to Biocanic *

Integration:

Import: