Request to add Additional Databases to an existing Medtech32 Site


Number of additional databases required  …………….


Name of existing Medtech32 Database     ……………………………………………..


Name of new Medtech32 Database/s        ………………………………………………


……………………………………………..……………………………………………… 
 
 
 
New Database Name      Number of users

 

 

 

 



 
Existing Database Name  Number of users

 

 

 

 
 
 
 
 

  Terms and Conditions:

        • I authorise Medtech to provide additional consultation time for
     SetUp/Configuration of the additional Medtech32 Database

       • We will supply the MTReset Printout from all existing Medtech databases and
   attach to this form. (go to the MT32/Bin folder and double click MTReset.exe,
    click the print icon)
 
 
 
 


Practice 1 .........................................................



Signed: .............................................................    Date:....................................



Print Name: .......................................................    Position:................................


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Practice 2 .........................................................



Signed: .............................................................     Date:....................................



Print Name: ......................................................     Position:................................