DIR Link Installation Questionnaire

DIR Link Installation Questionnaire

Contact Name*

Contact E-mail Address*

Facility Name*

IT Contact Name*

IT Contact E-mail Address*

Are you receiving data from PACS or scanner

PACS

Scanner

Third Party Dose Monitoring System

Other

What is your PACS Vendor

List your EHR vendor

We are planning to expand features in the future. It will be helpful to have EHR vendor information

Please add any additional comments

For any questions please reach out to acrconnectsupport@acr.org

Send me a copy of my responses

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