Intellect Update Authorization Form

from Version 9.12.01 or Greater

 

 

It is to your benefit to read this document in it's entirety before proceeding.

Regardless of whether you plan to update your server yourself or you are requesting Prime Clinical to run the Live Update program, you should ALWAYS complete this form and return it to PCS so we can update your Client Record with the version number to which you are updating. Knowing your version number is necessary if we find a critical error in the program and need to update clients with specific versions. Return the signed form to Prime Clinical Systems, fax: (626) 449-5615, attention: Support.   

 

Signing the authorization form acknowledges you are aware of the following:

 

 

Your office MUST have a current Intellect support maintenance contract to be updated. The Live Update program will not run if your contract is not current. If a message displays stating you don't have support, or you have any questions regarding your support contract, please contact Administration at (616) 449-1705, or email to accounting@primeclinical.com. In the Subject line of your email, include your Client ID and the word 'Update'. In the body of the email, please include a contact name and phone number.

 

 

  

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Version you are updating from:                                                         

 

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Version you are updating to:

 

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Print your office Client ID and Name

 

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Print contact name  

 

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Title

 

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Signature                                                                                                                    

 

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Date