| First Name(s) |
|
| Last Name |
|
| Job Title |
|
| Phone |
(
)
|
| Email |
|
| Name of Organization |
|
| Country |
|
| Street Address |
|
| City |
|
| State / Province
/ County |
|
| Zip / Postal Code |
|
| Type of Organization |
|
| Date your organization
was established |
|
| Number of customers |
|
| Number of employees |
|
| What sales revenue
did your company achieve in the last full year of
trading? ($USD) |
|
| What healthcare markets
does your company target? |
|
Please select the one Orion Health partner type that
best describes your business: |
|
Solution Partner |
Consultants who help
Orion Health customers implement and integrate Orion
Health solutions, optimize business processes, and
provide strategic business consulting. Examples: system
integrators and consulting service providers. |
|
Software Partner |
Provide turnkey software
solutions that embed, extend, and add value to Orion
Health solutions. Examples: independent software vendors
and resellers. |
|
Education Partner |
Work with Orion Health
to provide high-quality, professional training in
Orion Health solutions and technology. |
|
Technology Partner |
Provide infrastructure
(hardware, operation system, database, application
server) for Orion Health solutions. |
| Please indicate your
interest in the following Orion Health Products |
Concerto - Medical Applications Portal
cWorkflow Modules - Clinical Workflow
Rhapsody - Integration Engine
Symphonia - Messaging & Mapping Tools |
| What are your expectations
of the Orion Health Partner Program? |
|
| |
|