Request for Read Only License

 
 
 
 
Customer Name*
 
 
Customer No.*
 
 
 
Requestor’s Name*
 
 
Requestor’s Position*
 
 
 
Email Address*
 
 
Phone Number*
 
 
 
Date required for this to be actioned*
 
 
 
 
 
 
 
I/We require read-only licenses at a cost of $85 + GST per license per month. 
How many licenses would you require?*
 
 
 
 
Please allow 24 to 48 hours for us to action your request.

PLEASE NOTE: Licence fees are charged monthly. Regardless of the date on which you request an additional licence you will be charged the full monthly fee. To optimse your charges, we recommend requests for additional licences are submitted at the beginning of the month. 
 
 
 
Upload a copy of your current Medtech licence*
 
 
 
 
 
 
 

How to find your current Medtech Licence:

  1. Go to Help/Register option on the Menu Bar and use a snipping tool to take a screenshot.
  2. If the snipping tool is not available, press CTRL + SHIFT + Print Scrn
  3. Then paste the screenshot in a word document.
  4. Please save it on your computer and upload that file
 
I have read and accept the Privacy Policy and I am authorised to make this commitment on behalf of my organisation.*
 
 
     See Privacy Policy