DR Applications Site Report Site Name Dates of Applications PO# Applications Specialist Apps Specialist Email Apps Type*Install/Turn overF/UDemoContact InformationSite Contact Name Site Contact Number:Site Contact Email Address Address Dealer GroupSelect GroupBoston ImagingRPS ImagingRadsource ImagingTexas ImagingCommonwealthMid-SouthXRVMedServeParkerExcelAXICompRayPMIDealer/Sales Contact FSE Contact EquipmentSystem TypeSelect TypeGR40GM85GM85 FiTGC85ANF50GU60System ID: Number of SystemsGeneratorSelect GeneratorDR GEM 40DR GEM 32Neusoft 40Neusoft 32SpellmanSoftware Version PACS Vendor Quick Link app setup?Select answerYNSite Specific# of Techs Names of Super Users Radiologist Involved? Radiologist feedback on IQ? Applications Summary and Site FeedbackVoCTech List Section BreakUntitled Δ