TMG - Together we create solutions

Note Please allow between 30 - 40 minutes to fill in this form

You will need the following information handy when filling out this form:

Number of medtech users
Number of FTE Windows users
Charities Number (if applicable)
Asset register (if your organisation has one)
List of current applications used in your organisation

Application Hosting Step 1 of 4

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Section 1 - General Info

Organisation Name *

Please enter your company's name. i.e Tech Management Group

Organisation Contact *

Please enter your name.

Contact Number *

Please enter your preferred contact number.

Email Address *

Please enter your email address.

Site Name

The name of your clinic/medical centre.

Physical Address *

The address of your clinic/medical centre.

Section 2 - Site Locations and Hours of operation

Site Locations

Please list the sites you wish to have supported. Include physical location, phone numbers and site contacts.

Practice Hours

Please list the practice hours of business.

Scheduled Maintenance *

Are there specific times you would like us to perform this maintenance? Keep in mind users logging in from home.

Please name the time frame *

Section 3 - Users & Licencing

How many Medtech users do you have? *

Users can be generic, however you can only log into one user account at a time. There are no part time users

Microsoft Office *

How many of these users require Microsoft Office?

Other Office Products *

Do you require Microsoft Access or Visio?

Please Specicy *

Is your organization a registered charity? *

If you would like to obtain charity pricing please send us a copy your charity certificate

Please email your charity certificate to: web@tmg.nz

Microsoft User Licensing *

Do you have existing Microsoft software licensing? If so please provide any active agreements

Please email your agreements to: web@tmg.nz

Section 4 - Computers

Computers Age, Make and Models *

If you have a current asset list this would be ideal. If you need help with this TMG can do an onsite audit. There is a small charge for completing this service

Section 5 - Printers

Printer replacement?

Do you require a proposal to replace the printers?

Manage Print Fleet *

Do you wish to have the printers on a managed agreement where all the consumables are monitored and replenished as part of the agreement?

Do you wish to retain your existing printers?

Please note all printers under this model are required to be network capable printers. If you are not sure please check with TMG

Section 6 - Scanning

Any existing scanning devices?

How many existing Scanners / MFC / Copier do you have that scan to Medtech? Please list make and models

Section 7 - Data Outlets & Cabinets

Please email your file to: web@tmg.nz

Available Data Outlets

Please also advise us how many free data outlets are available in each room? Keep in mind each computer, Phone, Printer and label printer requires their own port

Section 8 - Applications

Other Application Support *

Please list any applications you wish to have supported other than your current PMS System. Examples might be; Patient Dash Board, Doctor Info, Accountancy software, Xray software, Fridge Logging Software

Do you have a domain name? *

Does your organization have their own domain name? e.g bob@xyzpractice.co.nz

Please Name: *

Section 9 - Email

Do you have a mail server? *

Example Microsoft Exchange? TMG have a number of email options to consider

Please Name: i.e. Microsoft Exchange or Other *

Section 10 - Shared Drives and Filing System

File Structure *

Would you like to retain the current structure of your company shared filed systems or would you prefer to change this during implementation?

Medical Image Stores *

Do you store medical images and attach them to Medtech 32 (via attachment manager)? If so please identify where you are storing these files

Please advise how you store them *

Section 11 - Phones

Do you need a phones proposal? *

We have a separate presales checklist for phones

Section 12 - Business Rules

Do you have a copy of your current IT policy? *

Please email your IT Policy to: web@tmg.nz We will check that this aligns with our service

Patient Privacy Form *

Do you have patient privacy form that you would like our technical staff to fill out?

Please email your Privacy Form to: web@tmg.nz Please provide as an appendix to this document. If not we have a standard form we can use

Induction Policies

Are there any other specific inductions or polices we need to know about before engaging with your organisation?

Please email your Induction Policy to: web@tmg.nz

Section 13 - Hardware Procurement

Lease or Own?

Do you prefer to lease or buy your equipment outright? If buy outright, would you still like a lease comparison?

Provide term you would like to lease over i.e. 48 months *

Section 14 - Implementation

Hours of implementation

Would you prefer the site implementation is completed during working hours or afterhours? Note, afterhours comes with a higher charge due to higher TMG resource use

Section 15 - Connected Health

Access to Connected Health

Does your site have access to the Secure Health Network?

Who is your current provider? *

Confirm your request

Section 1 - General Info

Organisation Name *

Organisation Contact *

Contact Number *

Email Address *

Site Name

Physical Address *

Section 2 - Site Locations and Hours of operation

Site Locations

Practice Hours

Scheduled Maintenance *

Please name the time frame *

Section 3 - Users & Licencing

How many Medtech users do you have? *

Microsoft Office *

How many of these users require Microsoft Office?

Other Office Products *

Do you require Microsoft Access or Visio?

Please Specicy *

Is your organization a registered charity? *

If you would like to obtain charity pricing please send us a copy your charity certificate

Microsoft User Licensing *

Do you have existing Microsoft software licensing? If so please provide any active agreements

Section 4 - Computers

Computers Age, Make and Models *

If you have a current asset list this would be ideal. If you need help with this TMG can do an onsite audit. There is a small charge for completing this service

Section 5 - Printers

Printer replacement?

Do you require a proposal to replace the printers?

Manage Print Fleet *

Do you wish to have the printers on a managed agreement where all the consumables are monitored and replenished as part of the agreement?

Do you wish to retain your existing printers?

Please note all printers under this model are required to be network capable printers. If you are not sure please check with TMG

Section 6 - Scanning

Any existing scanning devices?

How many existing Scanners / MFC / Copier do you have that scan to Medtech? Please list make and models

Section 7 - Data Outlets & Cabinets

Any existing scanning devices?

How many existing Scanners / MFC / Copier do you have that scan to Medtech? Please list make and models

Available Data Outlets

Please also advise us how many free data outlets are available in each room? Keep in mind each computer, Phone, Printer and label printer requires their own port

Section 8 - Applications

Other Application Support *

Please list any applications you wish to have supported other than Medtech 32. Examples might be; Patient Dash Board, Doctor Info, Accountancy software, Xray software, Fridge Logging Software

Do you have a domain name? *

Please Name: *

Quote for Domain Name? *

TMG can host your domain name, records and website if required. Please let us know if you would like a quote for this

Section 9 - Email

Do you have a domain name? *

Example Microsoft Exchange? TMG have a number of email options to consider

Please Name: i.e. Microsoft Exchange or Other *

Section 10 - Shared Drives and Filing System

File Structure *

Would you like to retain the current structure of your company shared filed systems or would you prefer to change this during implementation?

Medical Image Stores *

Do you store medical images and attach them to Medtech 32 (via attachment manager)? If so please identify where you are storing these files

Please advise how you store them *

Section 11 - Phones

Do you need a phones proposal? *

We have a separate presales checklist for phones

Section 12 - Business Rules

Do you have a copy of your current IT policy? *

Patient Privacy Form *

Do you have patient privacy form that you would like our technical staff to fill out?

Induction Policies

Are there any other specific inductions or polices we need to know about before engaging with your organisation?

Section 13 - Hardware Procurement

Lease or Own?

Do you prefer to lease or buy your equipment outright? If buy outright, would you still like a lease comparison?

Provide term you would like to lease over i.e. 48 months *

Section 14 - Implementation

Hours of implementation

Would you prefer the site implementation is completed during working hours or afterhours? Note, afterhours comes with a higher charge due to higher TMG resource use

Section 15 - Connected Health

Access to Connected Health

Does your site have access to the Secure Health Network?

Who is your current provider? *

Back Continue

0800 367 864

web@tmg.nz

Application Hosting Step 1 of 4

Section 1 - General Info

Section 2 - Site Locations and Hours of operation

Section 3 - Users & Licencing

Section 4 - Computers

Section 5 - Printers

Section 6 - Scanning

Section 7 - Data Outlets & Cabinets

Section 8 - Applications

Section 9 - Email

Section 10 - Shared Drives and Filing System

Section 11 - Phones

Section 12 - Business Rules

Section 13 - Hardware Procurement

Section 14 - Implementation

Section 15 - Connected Health

Confirm your request

Section 1 - General Info

Section 2 - Site Locations and Hours of operation

Section 3 - Users & Licencing

Section 4 - Computers

Section 5 - Printers

Section 6 - Scanning

Section 7 - Data Outlets & Cabinets

Section 8 - Applications

Section 9 - Email

Section 10 - Shared Drives and Filing System

Section 11 - Phones

Section 12 - Business Rules

Section 13 - Hardware Procurement

Section 14 - Implementation

Section 15 - Connected Health

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