Become a pilot facility

We are working with a small number of facilities in Ghana to shape CautaCare™ before launch. Tell us about yours and we will get back to you within about five working days.

Please do not include any patient information. We only need details about you and your facility.

About you

Full name

Your roleFor example: medical director, owner, pharmacist in charge

Phone

Your facility

Facility name

What kind of facility is it? Tick all that apply

If other, what kind? (optional)

Ownership

NHIA-accredited?

If other, what kind of ownership? (optional)

Region

Town or cityChoose your region first to see its towns, then start typing. Not listed? Type it in.

Number of staff

Patients or customers a day

How you work today

How do you keep records now? Tick all that apply

Paper Spreadsheets A computer system Other

Which system, if any? (optional)

Internet at the facility

What is the main problem you want to solve?For example: lost folders, slow NHIA claims, results that never reach the doctor

Getting started

Best way to reach you

Best time

When could you start?

How did you hear about us? (optional)

Anything else we should know? (optional)

Please tick at least one facility type and one way you keep records.