Pharmacy SmartZone User Opt In for PointClickCare & QuickMAR

Thank your for your interest in SmartZone - please fill in the below form to request access. We should be able to fulfill your request within a few business days. If you have previously requested and been provided access and just need a password reset please head to the main login page to request a reset from that location.

Name*

Please enter your First and Last name in this field

Job Title / Description*

Please enter your job title in this field

E-Mail Address*

Please enter the email address you wish the login information to be sent

Business Phone Number*

Pharmacy Name*

Please enter the name of your pharmacy below:

Pharmacy Dispensing System Used*

Please enter the pharmacy dispensing system that is used at your pharmacy location or that you are most familiar with.

Select or enter value

Product Interests*

Please indicate the IMM products you are interested in learning about

QuickMAR

Both PointClickCare & QuickMAR

Topic of Interest

Please indicate any specific topics of interest that you are hoping to learn about related to PointClickCare and IMM

Opting into SmartZone*

I agree to login into the PointClickCare Pharmacy Partner SmartZone within 72 hours of receving my username and password. I understand that my access will be disabled for inactivity.

Yes

Send me a copy of my responses

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