Request for Reduction of Medtech Evolution License(s) on Medtech Cloud

Customer No*
Customer Name*
Requestor’s Name*
Requestor’s Position*
Phone Number*
Date required for this to be actioned*
Number of licenses you wish to reduce by:*
Upload a copy of your current Medtech Evolution licensing screen *
Note: Go to Help/Register option on the Menu Bar and use a snipping tool to take a screenshot. If the snipping tool is not available, please do CTRL + SHIFT + Print Scrn and then paste it on a word document. Please save it on your computer and upload that file 
Privacy Policy
I have read and accept the Privacy Policy and I am authorised to make this commitment on behalf of my organisation.*
      See Privacy Policy 
Please note: There is a 24 hour turn around period on new license details being returned to the practice

Note: Your request will be processed within 1 business day.