If you would like to receive additional information on PRN Plus and/or a copy of the software for testing in your office or if you would like to test PRN Plus online, please complete this form and submit it to OMS2.

 Required fields *


* Agency Name:

* Contact:

* Title:

* Street Address:

* City:

* State:

* Zip:

* Phone Number:

Fax Number:

* Email Address:

Medicare Certified?:
Yes
No

Private Duty?:
Yes
No

* Considering a software purchase for your agency:

Current System:

What is the best time to contact you?:

Comments:

To request  just additional information on PRN Plus at this time, click on the "Information Only" button below, and then click on 'Submit'.

To request a Demo,  you must agree to the following:

The Contact and Agency identified above (hereafter referred to as "Agency") agree that the PRN Plus Demonstration version software is being requested for the exclusive purpose of evaluation for possible lease or purchase of PRN Plus by the Agency. The PRN Plus Demonstration version software will not be installed, copied, disclosed, distributed, or disseminated outside of the Agency's physical address listed above and access to the software will be limited to Agency employees, agents and consultants.

If you would like to demo PRN Plus, please select the 'Demo Online' option for the Hosted (online) Version Demo and information and click on 'Submit'.  Connection information, program information and a Demo User's Manual will be emailed to you.

If you just want more information on PRN Plus at this time, please select the 'Information Only' option and click on 'Submit'.

NOTE:  The Installed version of PRN Plus (installed on your computer system in your office) is not available in the Demostration version.

Please call 1-800-279-9949 with any questions..

 

 

Information Only

Demo Online

When completed, please click on 'Submit'.

   
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