FrameworkLTC Discovery | Prospect Profile Form

MHA team members: Please fill out the below member profile form for those members you believe could benefit from (and are not currently) utilizing the FrameworkLTC suite of solutions.

* All fields are required

Pharmacy Address *
Pharmacy Address
Pharmacy Point of Contact *
Pharmacy Point of Contact
Type of facilities that the pharmacy is servicing *
Do they offer a web portal for their facility customers?
Has the pharmacy stated they are trying to grow their market share (add new facility beds and/or patients)? *
Does the pharmacy have an IT manager on staff? *
Do they use a paperless system (i.e., document management)? *
Central storage systems designed to reduce inventory footprint & increase accuracy
Is there a delivery software solution in use? *
EHR, eMAR, remote dispensing or first dose technologies
MHA Rep Name (you) *
MHA Rep Name (you)