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Babyscripts Department Change Request

Have a new department to add or update to make? This online form will initiate the process for our team to work with you on adding new departments, winding down departments no longer using Babyscripts, and other department-related changes.
 
This question requires a valid email address.
3. What EMR are you using? *This question is required.
4. What type of integration do you have with Babyscripts?  *This question is required.
5. Which of the below situations best describe the reason of your request? *This question is required.
You can upload an XLS spreadsheet below.
6. Please select all Babyscripts modules involved in the impacted department (whether adding new or winding down). If changes are requested for multiple departments, please indicate whether your selections apply to all departments in the "Notes" section. *This question is required.
This question requires a valid date format of MM/DD/YYYY.