What group/IDN/GPO does this facility belong to?
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
Enter the types of equipment that this facility uses that are already integrated with OneQA .
Type Number of Units Notes
Enter equipment from other manufacturers that this facility has that cannot be integrated with OneQA.
Manufacturer Type Number of Units Notes
Enter the types of equipment that currently are not integrated with OneQA but would benefit from being integrated with OneQA.
Type Make Model Notes
Not painful Neutral Very painful
It might help them a little...
It would help them so much!

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