FHS Channel Partner Input

Facility Info

What group/IDN/GPO does this facility belong to?

Facility Info two

Enter all of the contacts at this facility that you think would benefit from knowing about OneQA in some way.
Role First Name Last Name Position/Title Phone Operations
Enter the types of equipment that this facility uses that are already integrated with OneQA .
Type Number of Units Notes Operations
Enter equipment from other manufacturers that this facility has that cannot be integrated with OneQA.
Manufacturer Type Number of Units Notes Operations
Enter the types of equipment that currently are not integrated with OneQA but would benefit from being integrated with OneQA.
Type Make Model Notes Operations
Questions Not painful Neutral Very painful
It might help them a little...
It would help them so much!

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