QuickMar Facility - SmartZone Account Request Form

NOT A PHARMARCY USER FORM

PHARMACIES CANNOT USE THIS FORM.

This form is for all QuickMAR facility users to access Self-Guided training on SmartZone. This form should not be filled out for Pharmacy users. Please complete all fields in the form. Expect that you will receive credentials within 3-5 business days.

Enter your QuickMAR portal Username here.

This email address will be used to send login information if there are any issues with your email.

What is the facility name as it is listed in QuickMAR?

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Many QuickMAR users also use PointClickCare for their EHR. If you do, have you accessed SmartZone?

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Only list if you have used SmartZone with the PointClickCare EHR application

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