HealthcareAgents

Client waitlist form for patients & clinicians interested in AI-assisted healthcare

Interested in AI-assisted healthcare solutions? Leave your info here. Currently we're mostly only serving US-based clients, but we might expand elsewhere.

Desired services

Which of these AI-assisted services are most interesting to you, as a patient or clinician?

Patient advocacy services:

Access to cutting-edge diagnostic testing

Case-specific medical research to bring to your doctor

Finding AI-assisted doctors to treat you

Medical records collection on your behalf

Clinician support services:

Early access to AI tools for clinicians

Finding patients who want AI-assisted doctors

Medical records collection on your behalf

News updates on research relevant to healthcare and/or AI

Your full name:*

Your email:*

Your country of residence:*

In which US state(s) do you currently spend at least one month per year?*
Answer "none" if you don't spend any time in the US.

Phone number (optional, for waitlist priority):
We will prioritize applicants who leave a phone number where we can reach them. Leaving your phone number is optional, however.

Do you have a MyChart account or other Epic account with any of your healthcare providers? (optional)
(e.g., Kaiser, Sutter, John Muir, UCSF, Stanford, St. David's, NYU Langone, Weill Cornell)

Do you have an iPod touch, iPhone, iPad, or Apple Watch? (optional)
(The Apple Health App allows easy and comprehensive access to your medical records.)

How did you hear about us? (optional):

Please confirm that we (HealthcareAgents) can contact you with information about our services, which may include new services not yet listed on this form. * You can cancel this contact preference at any time, by writing to contact+cancel@healthcareagents.com