10 Best Optometry EHRs for 2026 [My Reviews]

Co-founder who scaled a medical clinic from 1 to 15 physicians in 3 years.

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Optometry EHR software has one job: match how eye care clinics actually document and bill. Managing a growing multi-physician practice showed me how fast the wrong system creates charting bottlenecks. I evaluated 22 platforms for specialty-specific workflows, practice management integration, and mobile access. The options below cover the full eye care spectrum.

Optometry EHR software combines prescriptions, test results, and patient records in one place. It helps you manage exams, retail sales, and billing without switching systems. Most tools are designed for busy clinics with high patient volume and limited staff time. You can track inventory, update charts, and process claims faster. Some also include imaging tools and retail modules for glasses and contacts.

In this article, I’ll break down the top optometry EHR options. You’ll see what each one does well, how they differ, and which might work best for your clinic.

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Best Optometry EHR Summary

1Best for simplified documentation processesFree demo available Pricing upon requestWebsite
2Best for ophthalmologists seeking streamlined, specialty-specific workflowsFree demo availableFrom $799/user/monthWebsite
3Best for integrated care management across various health disciplinesFree demo availablePricing upon requestWebsite
4Best for cloud-based, comprehensive health record managementFree demo availablePricing upon requestWebsite
5Best for enhancing productivity with customizable EHR interfacesFree demo availableFrom $280/provider/monthWebsite
6Best for optometrists looking for highly customizable mobile EHR accessFree demo availablePricing upon requestWebsite
7Best for quick and intuitive charting capabilities in optometryFree demo availablePricing upon requestWebsite
8Best for a powerful and flexible solution in ophthalmology practice management30-day free trialFrom $130/provider/monthWebsite
9Best for optometrists desiring advanced EHR and practice management toolsFree demo availablePricing upon requestWebsite
10Best for small practices requiring simple yet robust EHR solutionsFrom $149/user/month.Website

Best Optometry EHR Reviews

  1. Best for simplified documentation processes
    • Free demo available
    • Pricing upon request
    Visit Website
    Rating:5.0/5
    Athenahealth screenshot
    The patient history management feature in Athenahealth allows users to view and manage patient records through simplified processes.

    Athenahealth offers a comprehensive cloud-based healthcare platform known as athenaOne, which integrates various software and services to enhance clinical effectiveness, patient experience, and financial performance for healthcare providers. The platform includes features such as Electronic Health Records (EHR), Revenue Cycle Management (RCM), and patient engagement tools.

    Why I Picked Athenahealth: I chose Athenahealth for its simplified documentation process, which reduces the time and effort required for record-keeping. This is achieved through customizable workflows that include best-practice templates, macros, and accelerators, allowing optometrists to tailor the documentation process to their specific needs. The platform also supports mobile documentation, enabling clinicians to document patient encounters on the go using the athenaOne app. 

    Standout features & integrations:

    Standout features include revenue cycle management, communication and care tools for patient engagement, an easy-to-read summary of patient records, a patient portal, automated reminders, telehealth capabilities, and mobile accessibility. Integrations include NextPatient, DocResponse, Yosi Health, Secondwave, Recovery Plus, TSI, VaxCare, Fullscript, QueueDr, and CallMyDoc.

    Pros and Cons

    Pros:

    • Broad range of integrations with other healthcare systems and devices
    • Cloud-based system for remote access
    • Comprehensive patient engagement features

    Cons:

    • Data migration can be time-consuming
    • The platform might be complex for less tech-savvy users
    Learn more about Athenahealth:
  2. Best for ophthalmologists seeking streamlined, specialty-specific workflows
    • Free demo available
    • From $799/user/month
    Visit Website
    Rating:4.4/5
    ModMed screenshot
    ModMed patient examination feature is designed to adapt to your unique needs.

    ModMed, or Modernizing Medicine, is a health IT company that offers an EHR system specifically designed for various medical specialties, including ophthalmology. The system is engineered to adapt to the unique needs and workflows of ophthalmologists, making it the ideal choice for these specialists.

    Why I Picked ModMed: I selected ModMed because of its strong focus on specialty-specific solutions, which is a distinctive quality among EHR systems. It stands out for its ability to adapt to the unique workflows of different medical specialties, including ophthalmology. Its inherent design for catering to specific specialties is why I consider it best for ophthalmologists seeking streamlined, specialty-specific workflows.

    Standout features & integrations:

    ModMed's EHR offers comprehensive features such as built-in MIPS intelligence and telehealth capabilities. Its adaptive learning engine also ensures the system aligns with the user's specific practice style. ModMed integrates seamlessly with a variety of systems, including practice management, revenue cycle management, and imaging centers, making it a versatile choice for diverse practice environments.

    Pros and Cons

    Pros:

    • Seamless integration with various other systems
    • Comprehensive features like built-in MIPS and telehealth support
    • Specialty-specific workflows accommodate unique practice needs

    Cons:

    • Specialty focus may not be as useful for generalist practices
    • Some users have reported customer service issues
    • Learning curve may be steep due to its comprehensive nature
  3. Best for integrated care management across various health disciplines
    • Free demo available
    • Pricing upon request
    Visit Website
    Rating:4.4/5
    EpicCare screenshot
    EpicCare patient portal is simple and easy to use.

    EpicCare is a comprehensive electronic health record (EHR) system designed by Epic. It's intended to streamline and manage patient care across a variety of healthcare disciplines. It's especially adept at facilitating coordinated healthcare, which is why it's best for integrated care management across various health disciplines.

    Why I Picked EpicCare: I chose EpicCare for its industry-leading reputation and extensive functionality. EpicCare consistently stands out among its competitors due to its robust, integrated suite of tools that can handle the needs of even the largest health networks. Its superiority lies in its capability to manage integrated care across diverse health disciplines, making it the top choice for complex health systems.

    Standout features & integrations:

    EpicCare offers an integrated platform with features like e-prescribing, clinical decision support, and health information exchange. Its MyChart patient portal is also worth mentioning, which provides patients with personalized and secure online access to their medical records. EpicCare's strength lies in its seamless integration capabilities with numerous external systems, enhancing its value in diverse healthcare settings.

    Pros and Cons

    Pros:

    • Strong interoperability with external systems
    • Excellent patient portal for improved patient engagement
    • Robust integrated system suitable for large healthcare networks

    Cons:

    • Requires considerable training to utilize its full potential
    • High cost and implementation timeline could be a deterrent for some
    • May be complex and overwhelming for small practices
  4. Best for cloud-based, comprehensive health record management
    • Free demo available
    • Pricing upon request
    Visit Website
    Rating:4.2/5
    CharmHealth screenshot
    The CharmHealth patient calendar is convenient for managing health records.

    CharmHealth is a comprehensive platform for managing health records. Its cloud-based model provides healthcare professionals with a secure, centralized repository for all patient records and related data. Given its robust capabilities and cloud-native model, CharmHealth is an excellent choice for comprehensive health record management in the cloud.

    Why I Picked CharmHealth: I chose CharmHealth because it is a comprehensive solution that offers cloud-based functionality, providing secure and easy access to patient data from anywhere. This makes it an ideal choice for healthcare professionals seeking flexibility and efficiency. The tool's emphasis on providing a centralized, cloud-based solution for all health records is why I deem it best for comprehensive health record management.

    Standout features & integrations:

    CharmHealth stands out with features like patient portal, telehealth services, practice management, and analytics. Importantly, its cloud-based system ensures that all data is easily accessible from any location. The platform also integrates seamlessly with numerous third-party applications, including billing and scheduling systems, allowing for a streamlined workflow.

    Pros and Cons

    Pros:

    • Provides a secure, centralized repository for all patient records
    • Easy integration with various third-party applications
    • Comprehensive cloud-based health record management

    Cons:

    • Some users report occasional glitches with the system
    • Customer support response times may vary
    • Steep learning curve due to a broad array of features
  5. Best for enhancing productivity with customizable EHR interfaces
    • Free demo available
    • From $280/provider/month
    Visit Website
    Rating:4.1/5
    PrognoCIS screenshot
    A look at the PrognoCIS patient sheet

    PrognoCIS is an electronic health record (EHR) software provider that offers adaptable, fully-integrated EHR, practice management, and billing services. One standout feature is the platform's customizable interface, which can significantly enhance productivity and ease of use, positioning it as a top choice for those seeking customizable EHR interfaces.

    Why I Picked PrognoCIS: I selected PrognoCIS for its strong emphasis on customization, which offers a distinct advantage over many EHR solutions. The system allows users to modify their interfaces to match their workflow, making it a standout choice. This capacity for personalization and efficiency enhancement is why I believe PrognoCIS is best for those seeking to improve productivity through customizable EHR interfaces.

    Standout features & integrations:

    PrognoCIS provides robust features, including e-prescribing, lab integration, patient portals, and telemedicine capabilities. The tool's customizable interface is a significant feature, allowing practices to tailor their EHRs to their specific needs. Furthermore, PrognoCIS integrates seamlessly with numerous billing and practice management systems, providing a more streamlined and efficient workflow.

    Pros and Cons

    Pros:

    • Telemedicine capabilities enhance patient accessibility
    • Fully integrated system provides a seamless workflow
    • Customizable interface allows practices to tailor their EHRs

    Cons:

    • The software may experience occasional glitches
    • Interface customization may require a learning curve
    • Some users report difficulties with customer service
  6. Best for optometrists looking for highly customizable mobile EHR access
    • Free demo available
    • Pricing upon request
    Visit Website
    Rating:3.9/5
    DrChrono screenshot
    DrChrono has a unique free draw feature.

    DrChrono is a flexible EHR platform that offers medical practices customizable modules and a mobile-friendly interface. This software is particularly valuable for optometrists who desire mobile access to their EHR system, making patient information and records accessible wherever they go.

    Why I Picked DrChrono: I selected DrChrono because of its emphasis on customization and mobile access. The ability to tailor the system to specific needs and access EHRs on mobile devices makes it stand out from other tools. Given these capabilities, I believe DrChrono is best suited for optometrists seeking highly customizable EHR access that fits in the palm of their hand.

    Standout features & integrations:

    DrChrono boasts a range of notable features, such as a customizable medical billing system, an intuitive scheduling system, and telehealth capabilities. Its most crucial integrations include medical billing services, pharmacies for e-prescriptions, and laboratories for test results.

    Pros and Cons

    Pros:

    • Comprehensive integrations with medical services
    • Mobile access allows for use on-the-go
    • Highly customizable EHR system

    Cons:

    • Some users might find it more complex than simpler, less customizable options
    • The mobile interface may take time to learn
    • Additional costs for setup, training, and support
  7. Best for quick and intuitive charting capabilities in optometry
    • Free demo available
    • Pricing upon request
    Visit Website
    Rating:3.9/5
    ChartLogic screenshot
    A look at the ChartLogic patient prescription sample.

    ChartLogic is a comprehensive EHR solution with a particular emphasis on fast, intuitive charting. Designed to streamline the process of documenting patient encounters, it's particularly suited to optometry practices that handle large patient volumes and require efficient charting tools.

    Why I Picked ChartLogic: I selected ChartLogic for its specific strength in offering intuitive and fast charting capabilities. The software's unique approach to electronic charting, which is based on a method similar to traditional paper charting, sets it apart from other EHR tools. It's for this reason that I judge ChartLogic to be the best for practices needing quick and user-friendly charting capabilities, particularly in optometry.

    Standout features & integrations:

    Among ChartLogic's standout features is its electronic charting functionality. The software's charting system closely mimics the traditional paper-based charting process, ensuring a smooth transition for healthcare professionals. On the integration front, ChartLogic is compatible with numerous third-party apps and systems, including labs, pharmacies, and imaging centers, promoting comprehensive care coordination.

    Pros and Cons

    Pros:

    • Tailored to the needs of optometry practices
    • Seamless integration with third-party systems
    • Intuitive, fast electronic charting

    Cons:

    • Some users report that customer support could be improved
    • Annual billing may not suit all practices
    • Relatively higher cost compared to other EHR tools
  8. Best for a powerful and flexible solution in ophthalmology practice management
    • 30-day free trial
    • From $130/provider/month
    Visit Website
    Rating:3.6/5
    AdvancedMD screenshot
    AdvancedMD is designed to streamline healthcare workflows.

    AdvancedMD is a comprehensive EHR and practice management software designed to streamline healthcare workflows. Given its robust suite of tools and customization capabilities, it's particularly beneficial for ophthalmology practices that require flexibility and power in managing their day-to-day operations.

    Why I Picked AdvancedMD: I chose AdvancedMD for its unique blend of power and flexibility. What distinguishes it from other EHR tools is its ability to adapt to complex workflows, a vital requirement in ophthalmology practice management. As such, I decided that AdvancedMD is the best for ophthalmology practices that demand powerful and flexible solutions.

    Standout features & integrations:

    Key features of AdvancedMD include customizable EHR workflows, an advanced patient portal, telemedicine capabilities, and robust billing features. With respect to integrations, AdvancedMD integrates seamlessly with a range of diagnostic equipment, billing services, and medical imaging tools, making it a versatile choice for diverse practice needs.

    Pros and Cons

    Pros:

    • Advanced telemedicine capabilities
    • Broad range of integrations with other healthcare services
    • Powerful, customizable features to handle complex workflows

    Cons:

    • Setup and training could incur additional costs
    • Annual commitment may not suit all practices
    • Pricing may be high for smaller practices
  9. Best for small practices requiring simple yet robust EHR solutions
    • From $149/user/month.
    Visit Website
    Rating:0.0/5
    Practice EHR screenshot
    A sneak peek at the Practice EHR medication feature offers user-friendly EHR solutions.

    Practice EHR is a cloud-based electronic health record solution designed specifically for small practices. The platform offers user-friendly, robust EHR solutions that streamline patient management and documentation. With its simple interface and powerful features, Practice EHR fits the needs of small practices requiring a robust EHR system.

    Why I Picked Practice EHR: I picked Practice EHR because of its focus on simplifying complex processes for small practices. Its user-friendly interface and robust functionality make it distinct among many EHR platforms. The simplicity combined with robust features leads me to believe it's best for small practices that require a robust yet simple EHR solution.

    Standout features & integrations:

    Practice EHR shines with features like appointment scheduling, charting, e-prescribing, and lab integration. It also provides a patient portal for improved patient communication and engagement. The platform integrates with various healthcare systems, improving its functionality and offering users a more comprehensive EHR solution.

    Pros and Cons

    Pros:

    • Effective patient portal for improved patient communication
    • Robust features like charting, e-prescribing, and lab integration
    • User-friendly interface suitable for small practices

    Cons:

    • Customer support experience varies among users
    • Some users report occasional slowdowns in system performance
    • More advanced features may have a learning curve
    Learn more about Practice EHR:

Other Optometry EHR Tools

Below is a list of additional optometry EHR tools we shortlisted but did not make it to the top 10. Definitely worth checking them out.

  1. 11
    MDConnectionBest for small to mid-sized practices needing comprehensive practice management
  2. 12
    RXNTBest for integrated, full-featured healthcare practice management
  3. 13
    TebraBest for independent medical practices seeking comprehensive billing solutions
  4. 14
    SevocityGood for custom EHR solutions across various specialties
  5. 15
    RevolutionEHRGood for optometry practices looking for a cloud-based EHR
  6. 16
    EZClaimGood for managing the medical billing process of specialties
  7. 17
    Practice FusionGood for offering a web-based EHR platform for various physician specialties
  8. 18
    AllegianceMDGood for its AI-powered Electronic Health Record system
  9. 19
    Eyefinity EHRGood for optometric practices with its specialized EHR solution
  10. 20
    MaximEyesGood for its tailored EHR and Practice Management software for eye care specialists
  11. 21
    My Vision ExpressGood for integrating practice management and EHR for eye care professionals
  12. 22
    MedicsCloudGood for its cloud-based medical practice management solution

How I Evaluate Optometry EHR

I split my evaluation into baseline requirements—like ocular charting and vision plan billing—and differentiators that separate the best-fit tool for your practice.

Core Functionality (Table Stakes For This List)

When I'm selecting tools for my list, I rank each one on a scale from 0 (does not offer the functionality) to 5 (excels in this area) for each core functionality listed below. Then, I calculate the tool's total score into a percentage. Each tool needs to achieve a minimum total score of 55% to be considered for inclusion.

  • Optometry-Specific Exam Charting: I check for purpose-built templates that cover refraction, IOP, visual acuity, and anterior/posterior segment drawing tools rather than generic SOAP notes.
  • Integrated Optical Dispensary: Frame inventory, lens ordering, and point-of-sale tools should connect directly to patient records so techs can pull Rx data into a dispensing order.
  • Vision & Medical Billing: I evaluate whether the platform handles both vision plan claims (VSP, EyeMed, Davis) and medical insurance billing with proper CPT/ICD-10 coding in one workflow.
  • Diagnostic Device Integration: Platforms that offer bidirectional interfaces with autorefractors, OCTs, visual field analyzers, and fundus cameras save significant manual data entry time.
  • Patient Scheduling & Recall: I look for automated recall reminders tied to exam intervals and Rx expirations, since recall drives a large share of optometry practice revenue.
  • HIPAA & MIPS Compliance: ONC certification status, HIPAA-compliant infrastructure, and built-in MIPS quality reporting tools are what I evaluate for regulatory readiness.

Once I have a list of tools that meet this criteria, I consider what sets each platform apart.

Differentiating Factors (What Sets Vendors Apart)

Here's how I compare and contrast different vendors:

Standout Features

Contact lens management is a major differentiator. I look for dedicated modules that handle trial tracking, Rx renewals, and direct-to-patient reorders through major distributors. A patient portal that supports digital intake and Rx access also cuts front-desk workload between visits. For group practices, I evaluate multi-location support—specifically whether the platform offers centralized admin, shared patient records, and cross-location inventory visibility for optical stock.

Beyond Features

Pricing structure matters a lot in this space. I evaluate whether vendors charge per provider, per location, or flat-rate—and whether optical, billing, and EHR modules are bundled or sold separately. Ecosystem integrations also weigh heavily; connections to frame suppliers, clearinghouses, and e-prescribing networks like Surescripts determine how much manual work your staff handles daily. I also consider data migration support, since moving patient histories and Rx records from a legacy system like OfficeMate or Revolution can make or break an implementation.

How to Choose Optometry EHR

It’s easy to get bogged down in long feature lists and complex pricing structures. To help you stay focused as you work through your unique software selection process, here’s a checklist of factors to keep in mind:

FactorScalabilityWhat to ConsiderCan the software grow with your practice? Consider future expansion plans and ensure the system can handle increased patient volume without requiring a complete overhaul.
FactorIntegrationsWhat to ConsiderDoes it work with your existing tools? Check for compatibility with other systems like billing software, diagnostic equipment, and patient management tools.
FactorCustomizabilityWhat to ConsiderCan you tailor it to your needs? Look for options to adjust workflows, templates, and user settings to fit your practice's unique processes.
FactorEase of useWhat to ConsiderIs it user-friendly for your team? Look for intuitive interfaces and minimal learning curves to reduce training time and increase efficiency.
FactorImplementation and onboardingWhat to ConsiderHow long will setup take? Evaluate the time and resources required for full implementation, including data migration and staff training. Consider vendor support options.
FactorCostWhat to ConsiderWhat’s the total cost of ownership? Consider subscription fees, hidden costs, and any additional charges for upgrades or support. Compare with your budget constraints.
FactorSecurity safeguardsWhat to ConsiderHow secure is patient data? Look for compliance with healthcare regulations, data encryption, and access controls to protect sensitive information.
FactorSupport availabilityWhat to ConsiderWhat support options are available? Check for 24/7 support, multiple contact methods, and the quality of assistance provided to ensure reliable help when needed.

What is Optometry EHR?

Within the broader category of optometry software, EHR systems are designed for optometrists to manage patient information and streamline practice operations. Optometrists and eye care professionals use these tools to improve patient care and operational efficiency.

Appointment scheduling, patient record management, and billing features help with daily tasks and reduce administrative burdens. Overall, these tools enhance patient interactions and practice productivity.

Features

When selecting EHR software for an optometry practice, keep an eye out for the following key features:

  • Patient records management: Organizes and maintains detailed patient information, making it easy to access and update records efficiently.
  • Appointment scheduling: Simplifies booking and managing appointments, reducing no-shows and optimizing the practice's schedule.
  • Billing and insurance processing: Automates billing tasks and insurance claims, speeding up payment processes and reducing errors.
  • Electronic health records (EHR): Stores and manages patient health information electronically, ensuring quick access and secure data storage.
  • Reporting and analytics: Provides insights into practice performance and patient trends, helping make informed decisions.
  • Customizable workflows: Allows tailoring of processes to fit the specific needs of the practice, improving efficiency and staff satisfaction.
  • Data security: Ensures patient data is protected with encryption and access controls, complying with healthcare regulations.
  • Telehealth capabilities: Enables remote consultations and follow-ups, expanding access to care for patients.
  • Integration with diagnostic equipment: Connects with optical devices to streamline diagnostic processes and data collection.
  • Patient communication tools: Facilitates communication through reminders and follow-ups, enhancing patient engagement and satisfaction.

Benefits

Implementing optometry EHR provides several benefits for your team and your business. Here are a few you can look forward to:

  • Improved efficiency: Automates routine tasks like scheduling and billing, allowing your team to focus on patient care.
  • Enhanced patient care: Quick access to electronic health records ensures you have all the necessary information to make informed treatment decisions.
  • Better data security: Protects sensitive patient information with advanced security features, ensuring compliance with healthcare regulations.
  • Increased revenue: Streamlined billing and insurance processing reduces errors and speeds up payments, positively impacting your bottom line.
  • Greater patient engagement: Patient communication tools facilitate reminders and follow-ups, helping maintain strong patient relationships.
  • Flexibility in care delivery: Telehealth capabilities enable remote consultations, expanding your practice's reach and convenience for patients.
  • Informed decision-making: Reporting and analytics provide valuable insights into practice performance, guiding strategic decisions.

Costs & Pricing

Selecting optometry EHR requires an understanding of the various EHR pricing models and plans available. Costs vary based on features, team size, add-ons, and more. The table below summarizes common plans, their average prices, and typical features included in optometry EHR solutions:

Plan Comparison Table for Optometry EHR

Plan TypeFree PlanAverage Price$0Common FeaturesBasic patient records management, appointment scheduling, and limited reporting.
Plan TypePersonal PlanAverage Price$20-$50/user/monthCommon FeaturesPatient records management, appointment scheduling, billing and insurance processing, and basic analytics.
Plan TypeBusiness PlanAverage Price$50-$100/user/monthCommon FeaturesAdvanced patient records, comprehensive billing, telehealth capabilities, and customizable workflows.
Plan TypeEnterprise PlanAverage Price$100-$200/user/monthCommon FeaturesFull EHR integration, advanced analytics, multi-location support, and premium customer support.

Optometry EHR FAQs

Here are some answers to common questions about optometry EHR:

Do optometry EHR tools integrate with other software?

Yes, many optometry EHR tools can integrate with practice management systems, billing software, and other health IT systems. This ensures seamless data transfer between systems, reducing the need for manual data entry and the risk of errors.

How secure are optometry EHR tools?

Security is a top priority for EHR tools. They should comply with regulations like HIPAA in the US, which sets the standard for protecting sensitive patient data. Most EHR systems have stringent security measures in place, including data encryption, user authentication, and regular security audits.

Can optometry EHR be accessed remotely?

Yes, most optometry EHR solutions offer cloud-based access, allowing you to manage your practice from anywhere with an internet connection. This is especially useful for telehealth services and accessing patient records on the go. Ensure your EHR provider has strong data security measures in place to protect patient information.

Is data migration difficult when switching to a new EHR software?

Data migration can be challenging, but many EHR providers offer migration services to help transfer patient records and other data. It’s crucial to plan the migration carefully, ensuring backup copies and minimal disruption to your practice. Communicate with your provider about timelines and any potential issues you might face.

Do all optometry EHRs support exam documentation specific to eye care?

Not all systems are built with optometry-specific exam templates. Some are adapted from general medical EHRs and may require customization to capture key clinical data like visual acuity, refraction, and optical history. It’s important to confirm whether the platform includes native support for optometric workflows. Practices that also provide more specialized medical or surgical eye care may want to compare ophthalmology EHRs designed around those workflows.

What’s Next:

If you're in the process of researching optometry EHR, connect with a SoftwareSelect advisor for free recommendations.

You fill out a form and have a quick chat where they get into the specifics of your needs. Then you'll get a shortlist of software to review. They'll even support you through the entire buying process, including price negotiations.

John Payne
John Payne

I'm the co-founder and director of Symphony Health MD. Since founding the clinic in 2022, I've grown it from a solo practice to a team of 15 physicians. I manage legal, financial, and operational needs while developing new service lines and expanding our offerings. I enjoy building practical solutions to real operational challenges, from streamlining workflows to solving technical problems. I hold a BA in Theology from the University of Leeds.

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