e-Net Messenger Account Setup Form
From this information, General Devices will setup an account and provide a username & password for each seat to be used at installation. One form should be completed for each Facility.
Region/Organization:
(State, county, council or region)
Facility Name:
(Hosp/EMS/Dispatch)
Facility Primary Contact
Name:
Department:
Title:
Phone: Alt:
Email:
Address:
City: State: Zip:
Facility Secondary Contact
Name:
Department:
Title:
Phone: Alt:
Email:
Address:
City: State: Zip:
“Labeling” information for e-Net Messenger install “Destinations”
List the items below as you would like them to appear on the e-Net Messenger Available Destination list (see diagram below):
Organization name (not shown):
(State, county, council or region)
Facility name (up to 25 characters):
(XYZ Hospital)
Each e-Net Messenger License is for a certain number of “Seats” – a seat is a computer or mobile device. Complete the information for each Seat (computer/mobile device) that the software will be installed on.
(Copy this page as needed for additional seats)
Seat 1 Location:
Device name or reference (up to 25 characters):
(Ex. ED, CAREpoint, EMS Dispatch, Coordinator PC, Dr. Smith’s Phone, Dr. Jones’ Tablet)
Device Operating System: XP Win 7 iPhone Android Phone iPad Android Tablet Other:
Seat 2 Location:
Computer Device name or reference (up to 25 characters):
(Ex. ED, CAREpoint, EMS Dispatch, Coordinator PC, Dr. Smith’s Phone, Dr. Jones’ Tablet)
Device Operating System: XP Win 7 iPhone Android Phone iPad Android Tablet Other:
Seat 3 Location:
Computer Device name or reference (up to 25 characters):
(Ex. ED, CAREpoint, EMS Dispatch, Coordinator PC, Dr. Smith’s Phone, Dr. Jones’ Tablet)
Device Operating System: XP Win 7 iPhone Android Phone iPad Android Tablet Other:
Seat 4 Location:
Computer Device name or reference (up to 25 characters):
(Ex. ED, CAREpoint, EMS Dispatch, Coordinator PC, Dr. Smith’s Phone, Dr. Jones’ Tablet)
Device Operating System: XP Win 7 iPhone Android Phone iPad Android Tablet Other:
Seat 5 Location:
Computer Device name or reference (up to 25 characters):
(Ex. ED, CAREpoint, EMS Dispatch, Coordinator PC, Dr. Smith’s Phone, Dr. Jones’ Tablet)
Device Operating System: XP Win 7 iPhone Android Phone iPad Android Tablet Other:
Seat 6 Location:
Computer Device name or reference (up to 25 characters):
(Ex. ED, CAREpoint, EMS Dispatch, Coordinator PC, Dr. Smith’s Phone, Dr. Jones’ Tablet)
Device Operating System: XP Win 7 iPhone Android Phone iPad Android Tablet Other:
Seat 7 Location:
Computer Device name or reference (up to 25 characters):
(Ex. ED, CAREpoint, EMS Dispatch, Coordinator PC, Dr. Smith’s Phone, Dr. Jones’ Tablet)
Device Operating System: XP Win 7 iPhone Android Phone iPad Android Tablet Other:
List other Facilities you need to communicate with: all in this Organization
Notes:
Example e-Net Messenger Destination List
Facilities
Seat (Computer/Mobile Devices)
GENERAL
1000 River Street, Ridgefield, NJ 07657
201.313.7075 (Fax) 201.313.5671
www.general-devices.com
info@general-devices.com
DEVICES
A Family of Integrated Building Block Solutions for Emergency Medicine
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