PointClickCare Discovery Form

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This 'Discovery' form is intended to collect important information about your organization as well as confirm key contact information. The details provided in this form will assist the PointClickCare team with better understanding your organization and providing assistance in the future.

There are four pages to this 'Discovery' form. Please complete all required fields for each page.

Your Information

Organization Information







Contact Information
Primary Contact
Contact information for the individual responsible for the project management of the PointClickCare implementation. 
Clinical Contact
Contact information for the individual responsible for the training and use of the PointClickCare platform. 
IT Contact
Contact information for the individual responsible for the IT Setup of the PointClickCare implementation. 
Account Manager Contact
Contact information for the individual responsible for the managing the organization's PointClickCare account. 
Additional Contact 
Any additional contacts that would be helpful during the PointClickCare implementation process.
Personnel & Patient Services Information




Technical Information

Additional Information

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Contact Information