STM Innovations — Digital Platform Demo · Fictional Data

Online Forms

Form submissions dashboard — demo data (no real PHI)

7

Total Submissions

3

New

2

Reviewed

1

Contacted

1

Completed

New Patient Request

2 submissions

Appointment Request

2 submissions

Contact Form

1 submissions

Insurance Inquiry

1 submissions

General Inquiry

1 submissions

Form TypeNameEmailDateStatusActions
New Patient RequestElena Brookselena.b@email.com2026-09-28New
Appointment RequestVictor Hayesv.hayes@email.com2026-09-29Reviewed
Contact FormNaomi Clarknaomi.c@email.com2026-09-30Contacted
Insurance InquiryDaniel Fosterd.foster@email.com2026-09-30Completed
New Patient RequestOwen Reedowen.r@email.com2026-10-01New
General InquiryIsabella Cruzi.cruz@email.com2026-10-01Reviewed
Appointment RequestTyler Jacksont.jackson@email.com2026-10-01New