Registration | Kleer Message

Step 2:

Upload Patient List

Practice Name

Practice Website

Practice Phone

Address

Run campaign for (pick one)

VivAer

RhinAer

Full Name - Physician

Additional Physcian Names

Campaign Start Date

Full Name - Aerin Rep

Full Name - Main Contact for POP in Practice

Email - Main Point of Contact for POP in Practice

Do you use have a Call Center? If yes, enter your Call Center number below

Upload Patient List

Click here to download a patient list template file

Screen Shot 2021-03-01 at 2.38.57 AM.png

Upload Physician Headshot

Enter Physician Bio

The client has permission to send e-mail and social media communications regarding products and services it offers to the patient list provided. Terms of Service

If you've already signed the BAA and uploaded your list, click here to go directly to Step3: Add to Cart & Pay

Support Email

Bushra@kleermessage.com