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Wellness FitnessTop 10 Best Cloud Based Medical Spa Software of 2026
Top 10 cloud based medical spa software with editor-style ranking and tool comparisons, covering Vagaro, Shedul, and Boulevard for operations.
How we ranked these tools
Core product claims cross-referenced against official documentation, changelogs, and independent technical reviews.
Analyzed video reviews and hundreds of written evaluations to capture real-world user experiences with each tool.
AI persona simulations modeled how different user types would experience each tool across common use cases and workflows.
Final rankings reviewed and approved by our editorial team with authority to override AI-generated scores based on domain expertise.
Score: Features 40% · Ease 30% · Value 30%
Gitnux may earn a commission through links on this page — this does not influence rankings. Editorial policy
Vagaro is the best fit overall if you want appointment execution plus intake and reminders in one workflow for med spas, whereas Zenoti works better for multi-location teams that need appointment-linked documentation and operational automation without disconnected tools, and Fresha is the cheapest entry if you just need solid booking and payments with lighter clinical records.
Editor’s top 3 picks
Three quick recommendations before you dive into the full comparison below — each one leads on a different dimension.
Vagaro
Appointment calendar workflow drives booking, intake capture, and reminder automation from one operational backbone.
Built for fits when med spas need appointment execution plus intake and reminders in one workflow..
Shedul
Editor pickTreatment template workflows tie intake, consent steps, and treatment notes to the same booking flow.
Built for fits when med spa teams need appointment-linked documentation and automated follow-ups without bespoke workflow builds..
Boulevard
Editor pickTwo-way SMS reminders connected to appointment status to automate confirmation and reduce no-shows.
Built for fits when scheduling and pre-visit intake drive throughput and patient follow-up matters..
Related reading
Comparison Table
Vagaro
SMBOnline booking and business management software for salons and spas.
Appointment calendar workflow drives booking, intake capture, and reminder automation from one operational backbone.
Vagaro is designed around appointment-centric operations, with service menus, provider assignment, and room or staff availability driving the calendar and booking pages. Client intake can be collected via forms that attach to customer profiles and upcoming visits, which reduces manual rekeying for med spa workflows. Automated reminders can be scheduled around appointment times, which supports no-show reduction programs that depend on outbound messaging.
A common tradeoff is that deeper clinical charting and medical documentation workflows often require tighter alignment with the practice’s existing EMR strategy than a scheduling-first system provides. Vagaro fits best for med spas that prioritize consistent booking, intake capture, and operational execution, then connect clinical documentation through separate systems.
- +Appointment-first scheduling connects services, staff assignment, and booking pages
- +Automated reminders reduce manual follow-up for upcoming visits
- +Custom intake forms attach to client records and appointment context
- +Role-based access supports separating receptionist and staff permissions
- –Charting workflows can feel limited for advanced medical documentation
- –Integrations depend on external systems for specialized EMR needs
- –Photo consent and imaging review require disciplined internal process design
- –Some clinical governance tasks need additional configuration work
Front desk teams
Manage bookings and confirmations
Fewer missed appointments
Practice managers
Standardize intake across services
Less data reentry
Show 2 more scenarios
Providers and clinical staff
Coordinate services with staff availability
Fewer scheduling conflicts
Service catalogs and provider assignment help keep staff coverage consistent.
Operations teams
Track client journey around visits
Better operational continuity
Appointment-linked records give a single view of client activity and upcoming steps.
Best for: Fits when med spas need appointment execution plus intake and reminders in one workflow.
More related reading
Shedul
SMBFree salon and spa scheduling software with business management.
Treatment template workflows tie intake, consent steps, and treatment notes to the same booking flow.
Shedul centers appointment scheduling tied to treatment workflows, with structured steps for intake and consent capture that can be reused across services. Teams can configure visit-specific components such as form flows and note templates, then bind them to the booking flow so documentation starts from the appointment context. Integration depth is strongest where scheduling data must trigger patient communication and where the EMR connection needs appointment-linked context.
A key tradeoff is that standardized templates and workflow configuration become the main lever for consistency, which increases upfront setup time for new service lines. Shedul works best when a medical spa already has defined treatments, providers, and room usage patterns that can be translated into repeatable booking rules. It is a weaker fit for organizations that need heavy customization of clinical documentation structure beyond what the template workflow supports.
- +Appointment-to-workflow setup reduces handoffs between booking and documentation
- +Treatment templates help standardize intake, consent, and visit note flow
- +Automated patient messaging supports consistent reminder and follow-up timing
- +Integration-friendly architecture supports passing scheduling context outward
- –Initial workflow and template configuration takes time for new service catalogs
- –Deep documentation customization can require stricter process alignment than some teams want
- –Complex org structures may need more careful role and workflow governance
- –Richer clinical edge cases may need manual review outside template coverage
Operations managers
Standardize visit setup across services
Fewer missed intake tasks
Practice administrators
Reduce manual reminder coordination
Lower no-show rates
Show 2 more scenarios
Clinical documentation teams
Speed treatment note completion
Faster chart completion
Visit note templates start from the booked treatment context for consistent documentation.
EMR integration owners
Keep scheduling context flowing to EMR
Less duplicate data entry
Integrations move appointment-linked details so clinical systems do not rely on re-entry.
Best for: Fits when med spa teams need appointment-linked documentation and automated follow-ups without bespoke workflow builds.
Boulevard
SMBBusiness management platform for appointment-based businesses.
Two-way SMS reminders connected to appointment status to automate confirmation and reduce no-shows.
Boulevard fits practices that want appointment flow control plus structured visit support, not just marketing contact capture. Patient intake forms and consent workflows let teams collect visit-specific information before treatment begins, while scheduling supports room and provider assignment to keep utilization predictable. Automation includes reminders that tie to appointment records so operational staff do not manually chase confirmations.
A key tradeoff is that Boulevard’s clinical depth depends on how the practice connects it to its EMR, since medical documentation and coding typically remain in the charting system. Boulevard works best when front-desk and scheduling are the operational bottleneck and when the practice already has an EMR integration path for documentation handoff.
- +Booking and scheduling workflow matches front-desk throughput needs
- +Automated appointment reminders reduce manual confirmation work
- +Intake and consent collection supports pre-visit readiness checks
- +Role-based access supports controlled visibility across staff
- –EMR and documentation integration work can be a project
- –Clinical documentation templates are not a substitute for charting
- –Reporting breadth depends on how visits are configured internally
- –Complex multi-location controls require careful operational setup
Front-desk operations teams
Reduce manual appointment confirmation
Lower no-show rates
Aesthetic practice managers
Standardize intake and consents
More consistent pre-visit data
Show 2 more scenarios
Clinic operations coordinators
Assign providers and treatment rooms
Fewer scheduling disruptions
Scheduling ties visits to providers and rooms to reduce last-minute conflicts and idle time.
Practice administrators
Control staff chart access
Stronger governance
Role-based chart access limits what each user can view during daily operations.
Best for: Fits when scheduling and pre-visit intake drive throughput and patient follow-up matters.
Zenoti
enterpriseCloud-based spa and salon management software for multi-location operations.
Provider commission splits tied to booked services and documented treatments, with reports that reflect the same operational record.
Zenoti is cloud-based medical spa software with built-in scheduling, payments, and marketing workflows geared toward appointment-driven practices. It supports digital patient intake and treatment documentation workflows that link services, providers, and visits in one operational record.
Admin controls cover staff access and organizational governance across front desk and clinical processes. Automation features such as reminders and commission tracking reduce manual follow-ups and help standardize treatment note creation.
- +End-to-end flow from booking to treatment notes ties records to appointments
- +Commission and provider reporting supports split-based compensation workflows
- +Digital intake and consent capture reduces retyping across visits
- +Operational automation for reminders cuts no-show recovery work
- –Advanced workflows require configuration time across staff roles and services
- –Some specialized clinical documentation patterns need template tuning
- –Inventory and controlled-item tracking can be more manual for complex setups
- –Reporting granularity for edge cases depends on structured service mapping
Best for: Fits when multi-service medspa teams need appointment-linked documentation and operational automation without disconnected tools.
Mindbody
enterpriseCloud-based business management software for wellness businesses.
Scheduling and payments are built to transact from the same service and appointment record, reducing reconciliation work.
Mindbody runs cloud booking, scheduling, and payments for spa and fitness businesses, with built-in client management for recurring services. The core workflow centers on staff and treatment room scheduling plus service catalogs, then it tracks sessions, check-ins, and related client history.
Operations extend through marketing-style client communications, including appointment reminders, and through commission and staff attribution for service delivery. Admin coverage includes role-based access controls for day-to-day operations and multi-location management tools that fit larger chains.
- +Appointment scheduling with service-specific capacity and staff assignment
- +Built-in payment handling tied to scheduled services and check-ins
- +Client profiles support recurring bookings and session history
- +Multi-location setup supports shared processes across venues
- –Medical spa intake, consent, and clinical documentation are not a full EMR substitute
- –Limited evidence of deep clinical integrations compared with HL7-based ecosystems
- –Workflow automation depends more on configuration than programmable rules
- –Governance for chart-level controls can require disciplined role design
Best for: Fits when med-spa teams need dependable booking, payments, and client history across locations.
Phorest
SMBSalon and spa management software for business growth.
Appointment-first workflow with configurable service menus and treatment record capture tied to each visit lifecycle.
Phorest is cloud-based medical spa software that centers on managing client journeys from booking through treatment notes and follow-ups.
It supports appointment scheduling, customizable service menus, and staff workflows that map to clinic operations without spreadsheets.
The system connects marketing and engagement actions like reminders and client communications to day-to-day scheduling.
Phorest also includes reporting for throughput and operational visibility across bookings and services.
- +Clinic scheduling and service catalog are designed for repeated treatments
- +Customizable treatment and client record workflows reduce manual re-entry
- +Operational reports track bookings and service-level performance
- +Reminder and follow-up flows help reduce manual admin work
- –Advanced clinical workflows need careful configuration to match each clinic
- –EMR and EHR integration depth can lag behind systems built for hospitals
- –Photo consent and aftercare workflows may require extra operational discipline
- –More granular governance controls for complex multi-location teams can be limited
Best for: Fits when a medical spa needs strong scheduling and client workflow tracking without heavy EMR replacement.
Mangomint
SMBSpa and salon software with no double bookings and automated workflows.
Role-based staff workflow for booking to charting continuity across appointments and treatment notes.
Mangomint is a cloud-based medical spa operations system with scheduling, client records, and marketing-style workflows organized around spa staff routines. The software centers on treatment and appointment management, then ties those events to documentation steps like intake capture and treatment notes.
Mangomint also supports inventory workflows for common spa supplies and injectables used in aesthetic services. Reporting focuses on operational visibility like activity tracking and performance summaries rather than deep billing-grade analytics.
- +Unified scheduling and client record workflow reduces handoff between staff tools
- +Treatment documentation templates keep charting consistent across providers
- +Inventory tracking supports common spa consumables and injectable use cases
- +Operational reporting highlights utilization and activity trends
- –Limited integration depth for EMR and EHR data exchange compared with FHIR-native products
- –Automation is geared to spa workflows and may not cover complex multi-location governance
- –Photo consent and before after imaging workflows are not as granular as specialized imaging tools
- –Audit controls and RBAC depth may require add-ons or extra admin work
Best for: Fits when mid-size medical spa teams want scheduling plus documentation in one workflow without heavy EMR integration demands.
Fresha
SMBSubscription-free booking and business management for salons and spas.
Fresha’s unified client timeline links bookings, service history, and payments for fast front-desk retrieval.
Fresha is a cloud-based medical spa software focused on bookings, payments, and day-to-day operations in a single workflow. It supports staff management and treatment catalog setup so appointment scheduling and service changes stay synchronized.
Client profiles centralize intake details alongside visit history and payment records. Admin controls help manage access by role so day-to-day staff and managers can work with different permissions.
- +Single workflow connects booking, checkout, and client visit history
- +Treatment catalog and schedule rules reduce manual re-entry between services
- +Role-based access supports separation between front desk and staff users
- +Appointment and service updates propagate through day-to-day operations
- –Medical documentation depth for consent workflows is limited versus clinical EMRs
- –HL7 FHIR and EMR integration typically require additional vendor work
- –Inventory and controlled-substance style logging are not built for regulated traceability
- –Automation coverage for clinical reminders and follow-up is less granular than specialized platforms
Best for: Fits when a medical spa needs a strong booking and payments workflow with light clinical records.
MedSpa by Aesthetic Record
vertical specialistElectronic charting and practice management for aesthetic practices.
Inventory tracking for injectables ties stock handling into visit workflows and treatment documentation.
MedSpa by Aesthetic Record runs cloud workflows for managing patient records, appointments, and treatment documentation in a single administrative interface. It covers intake through consent handling, then ties visit notes to scheduled treatment room workflows and after-visit documentation.
The system also tracks inventory for injectables workflows and supports operational features for day-to-day med spa staffing. Administration emphasizes controlled access to patient charts and treatment records through role-based permissions.
- +Central workspace for intake, visit notes, and consent artifacts in one flow
- +Treatment room scheduling supports practical daily routing for providers
- +Inventory handling for injectables workflows reduces manual stock tracking
- +Role-based chart access limits exposure of patient records
- –EMR integration depth is limited compared with vendors offering HL7 FHIR-first connectivity
- –Automation and API surface area appear narrower than systems built for partner integrations
- –Reporting coverage for clinical KPIs like no-show analytics is less comprehensive
- –Some specialty workflows require extra configuration rather than default templates
Best for: Fits when a med spa needs day-to-day charting and scheduling in one system without deep EMR-level interoperability requirements.
PatientNow
vertical specialistPractice management and EMR software for med spas and aesthetic clinics.
Photo-linked treatment documentation that stays tied to visits for consistent before-and-after history.
PatientNow is a cloud-based medical spa workflow system built around clinician documentation, intake capture, and treatment planning. It centers on scheduling, consent and template-driven treatment notes, and patient communication to support repeatable spa care operations.
The product workflow ties together before-and-after photo documentation and treatment record continuity across visits. PatientNow also targets back-office control through appointment-driven workflows and role-scoped chart access for care teams.
- +Template-based treatment notes reduce variance across providers
- +Photo documentation supports consistent before-and-after record-keeping
- +Appointment-first workflows keep scheduling, notes, and follow-ups aligned
- +Role-scoped chart access supports controlled viewing for care teams
- –Deep clinical billing outputs are limited versus full medical billing suites
- –Advanced EMR interoperability may require additional implementation effort
- –Photo and consent workflows can become configuration-heavy across service lines
- –Reporting depth for outcomes and commissions depends on setup choices
Best for: Fits when medical spas need appointment-driven intake, consents, notes, and photo capture in one system.
Conclusion
After evaluating 10 wellness fitness, Vagaro stands out as our overall top pick — it scored highest across our combined criteria of features, ease of use, and value, which is why it sits at #1 in the rankings above.
Use the comparison table and detailed reviews above to validate the fit against your own requirements before committing to a tool.
How to Choose the Right cloud based medical spa software
Cloud based medical spa software in this guide covers Vagaro, Shedul, Boulevard, Zenoti, Mindbody, Phorest, Mangomint, Fresha, MedSpa by Aesthetic Record, and PatientNow. Each tool review centers on how appointment execution, intake capture, and treatment documentation connect inside a single operational workflow.
The standout patterns across the set start with appointment-first booking plus automation, then expand into treatment-linked documentation, photo-linked chart history, and inventory-aware injectable workflows.
Cloud based medical spa software for appointment-driven intake, consent, and treatment documentation
Cloud based medical spa software runs scheduling, visit records, and front-desk workflows in one hosted system so staff can book services, capture pre-visit information, and complete visit documentation without switching tools. Vagaro ties booking, intake capture, and reminder automation to the appointment calendar workflow so the same backbone drives confirmation and follow-up.
Shedul uses treatment template workflows that connect intake, consent steps, and treatment notes to the booking flow so documentation and follow-ups stay appointment-linked. Boulevard adds two-way SMS reminders connected to appointment status to automate confirmation loops that reduce manual no-show handling.
Integration, automation, and documentation continuity to evaluate in cloud medical spa systems
Cloud based medical spa software should keep booking events, intake steps, and treatment documentation in the same operational record so staff do not re-enter information across tools. Vagaro and Shedul both tie workflow execution to the appointment record so reminders, notes, and follow-up steps come from one backbone rather than disconnected screens.
Appointment execution backbone for booking, intake, and reminders
Vagaro connects the appointment calendar to intake capture and automated reminders so confirmation and follow-up come from the same booking workflow. Boulevard connects two-way SMS reminders to appointment status so confirmation loops update as the appointment moves.
Treatment template workflows that bind documentation to visits
Shedul uses treatment template workflows that connect intake, consent steps, and treatment notes to the booking flow so documentation follows the appointment lifecycle. Phorest also captures treatment record information tied to each visit, using an appointment-first workflow with configurable service menus.
End-to-end treatment documentation plus provider compensation reporting
Zenoti ties end-to-end booking to treatment notes and then reports commission and provider splits from the same operational record. This configuration helps multi-service medspa teams align compensation to documented treatment outcomes.
Clinical record depth with photo and consent artifacts tied to the visit
PatientNow keeps photo-linked treatment documentation tied to visits so before-and-after history stays consistent across providers. Fresha provides a unified client timeline that links bookings, service history, and payments, but its consent workflow documentation depth is limited versus dedicated clinical EMRs.
Inventory-aware workflows for injectable stock handling
MedSpa by Aesthetic Record includes inventory tracking for injectables and ties stock handling into visit workflows and treatment documentation. This is a better fit than tools that prioritize booking and payments, like Fresha, when injectable stock tracking is a daily operational requirement.
Scheduling plus payments and check-in tied to the same service appointment record
Mindbody builds scheduling and payments on the same service and appointment record so teams reduce reconciliation work. Fresha similarly links booking, checkout, and client visit history in one workflow, but clinical documentation coverage for consent workflows is narrower.
Choose based on workflow philosophy: appointment-first automation, documentation templates, or clinical-adjacent record depth
The fastest way to select cloud based medical spa software is to map how each system moves a single appointment through intake, consent artifacts, treatment notes, and follow-up. Vagaro and Boulevard lead with appointment status and reminder automation, while Shedul and Phorest lead with templates that formalize intake and documentation tied to booking.
Pick the appointment backbone model that drives your day-to-day execution
If the front desk needs booking pages, staff assignment, intake capture, and reminder automation from one place, Vagaro’s appointment calendar workflow is built as the operational backbone. If appointment status must actively drive two-way patient confirmation to reduce manual no-show work, Boulevard’s SMS reminders connected to appointment status fit the same operational goal.
Decide whether treatment documentation should be template-driven or minimally structured
If treatment notes must standardize consent steps and visit documentation across services, Shedul’s treatment template workflows connect intake, consent, and treatment notes to the booking flow. If documentation should reduce re-entry while keeping advanced clinical charting expectations modest, Phorest’s configurable service menus and treatment record capture tied to each visit lifecycle can match that structure.
Evaluate whether compensation and reporting are derived from treatment records or from booked services only
If provider compensation requires split-based workflows that reflect documented treatments, Zenoti ties commission splits to booked services and documented treatments with reports based on the operational record. If compensation workflows do not need split logic tied to documented treatments, Mindbody can still support appointment-linked service history and payment handling with less emphasis on treatment-linked compensation reporting.
Match charting artifacts to your consent and imaging workflow
If before-and-after consistency and photo-linked documentation are core, PatientNow keeps photo artifacts tied to visits to maintain treatment history across providers. If imaging and consent artifacts are secondary to front-desk retrieval, Fresha’s unified client timeline connects booking, checkout, and client history but leaves deeper medical documentation and consent workflow coverage lighter.
Require injectable inventory tracking in the same workflow if stock handling is a daily operation
If injectable stock handling must be visible and connected to visits, MedSpa by Aesthetic Record ties inventory tracking for injectables into visit workflows and treatment documentation. If the main requirement is appointment routing plus payment and visit history, Fresha’s workflow depth can be enough without injectable inventory logic.
Who should buy cloud based medical spa software like these
Medical spa teams benefit most when scheduling, intake steps, and treatment documentation remain linked in one hosted workflow. The tools in this guide support different operational priorities, like appointment-first execution in Vagaro or SMS follow-up in Boulevard.
Front-desk and scheduling-led med spa teams
Vagaro supports appointment execution plus intake capture and automated reminders from the appointment calendar workflow, which reduces handoffs between front desk and clinicians. Boulevard similarly connects booking and scheduling workflow to automated confirmation loops through two-way SMS reminders tied to appointment status.
Clinician-led documentation standardization workflows
Shedul uses treatment template workflows that tie intake, consent steps, and treatment notes to booking so teams can standardize documentation without bespoke workflow builds. Mangomint supports role-based staff workflow for scheduling to charting continuity and uses treatment documentation templates to keep charting consistent across providers.
Multi-provider med spa teams running split-based compensation
Zenoti is a fit when provider commission splits must reflect the same operational record as booked services and documented treatments. The platform’s reporting supports split-based compensation workflows that follow documented care rather than only appointment counts.
Practices that must manage injectable stock tied to visits
MedSpa by Aesthetic Record fits day-to-day charting and scheduling needs when inventory tracking for injectables must connect into visit workflows and treatment documentation. This coverage is not positioned around deep EMR-level interoperability, so it matches operations that need practical stock handling in the med spa system.
Sites using before-and-after photos as primary clinical artifacts
PatientNow is designed to keep photo-linked treatment documentation tied to visits for consistent before-and-after history. This reduces drift between photo sets and chart notes that can happen when photos live outside the visit record.
Common pitfalls when evaluating cloud based medical spa software
A frequent mistake is choosing a scheduling-first system and then expecting it to behave like full charting, imaging, and medical billing infrastructure. Mindbody and Fresha provide scheduling and payment workflow strengths, but both are positioned with limited medical spa intake, consent, and clinical documentation depth versus dedicated clinical EMRs.
Assuming clinic charting templates equal EMR interchange depth
Boulevard and Fresha both connect scheduling workflows and reduce no-shows, but their clinical documentation templates are not a substitute for full charting and EMR interoperability. A med spa that depends on deeper clinical documentation patterns should validate clinical workflow coverage beyond template capture.
Overlooking setup time for appointment-linked templates across services and staff roles
Shedul’s treatment template configuration takes time to stand up for new service catalogs, which can slow initial go-live. Zenoti also needs configuration across staff roles and services, so teams should allocate governance time for commission and documentation logic.
Expecting tight EMR integration without implementation effort
Vagaro integration can depend on external systems for specialized EMR needs, and Boulevard’s EMR and documentation integration work can become a project. Mangomint also notes limited integration depth for EMR and EHR exchange compared with FHIR-native ecosystems, so integration scope should be confirmed before committing to complex EHR handoffs.
Choosing a tool that optimizes payments but leaving consent and clinical documentation as an afterthought
Mindbody and Fresha tie scheduling and payments to the appointment record, but medical consent and clinical documentation depth is limited compared with clinical EMRs. PatientNow and MedSpa by Aesthetic Record better match teams that require visit-linked clinical artifacts like photos or injectable inventory-aware workflows.
How We Selected and Ranked These Tools
We evaluated Vagaro, Shedul, Boulevard, Zenoti, Mindbody, Phorest, Mangomint, Fresha, MedSpa by Aesthetic Record, and PatientNow on features at 40%, ease of use at 30%, and value at 30%. Features scoring prioritized appointment-linked operational automation, like Vagaro’s appointment calendar backbone for booking plus intake capture plus reminder automation, and Shedul’s treatment template workflows tied to the booking flow.
Ease scoring reflected how quickly staff can execute the appointment-to-documentation chain without extra handoffs, and Vagaro ranked highest due to its appointment-first workflow coverage. Vagaro earned the top spot with the strongest blend of operational automation and workflow clarity across appointment execution, intake steps, and reminder follow-up.
Frequently Asked Questions About cloud based medical spa software
How do Vagaro and Fresha differ in how scheduling triggers intake and documentation?
Which platform handles appointment-linked consent workflows more tightly: Shedul or Boulevard?
How do Zenoti and Mindbody support multi-role operations without breaking chart access rules?
What data migration approach matters most when moving PHI and visit history into PatientNow or MedSpa by Aesthetic Record?
When staff want to standardize treatment setup across providers, how do Shedul and Zenoti compare?
What breaks if the integration layer cannot send scheduling events into clinical documentation in Boulevard or Phorest?
How do Mangomint and MedSpa by Aesthetic Record handle inventory workflows for injectables used in treatments?
Which tool is better when a practice needs commission splits tied to documented treatments: Zenoti or Vagaro?
How do admin controls differ across Mindbody and PatientNow for managing role-scoped chart access?
Tools reviewed
Primary sources checked during evaluation.
Referenced in the comparison table and product reviews above.
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