Request for Development Basic Info:Medical Practice Name Name First Last PhoneEmail Project Details:Request for development type(Required) Roadmap Idea - No Action Request for development - Special Project General Request are not followed up with proposal schedules I understand and agree to the $95 hour dev rate . This submission approves a 1 hour development rate for project scoping the project * This is not refundable.(Required) Yes EHR system: Project Name Is this an Integration into New Applications Yes No ListApplication NameApplication URLDevelopment Doc URL Add RemoveProject description:Desired integration features:What is the desired timeline or deadline for completing the project? Additional Information:Are there any existing systems, processes, or infrastructure that the project needs to integrate with?Need anything exported or Imported into or from Cerbo? What Add RemoveFileMax. file size: 64 MB.When Do you need the Project finished Do you need a Rush on starting? Development schedule is currently starting 6 weeks from this date. Yes No Rush Fee - if the project needs to be started prior to our internal start date there will be a rush fee of $500-$2,500. The amount of the rush fee will depend on the urgency of the project Timeline in relation to our other deliverables. I understand Prove that you are a human !