CARE MESSAGING REGISTRATION

Welcome to Care Analytics. Please Fill out the following form as it will assist us in your setup process.

Main Contact Name

First Name

Last Name

Main Contact Email

Facility Name

Parent Organization (Client - if Organization is Larger than One facility)

Required Dashboard User Logins

Please provide a list that consists of FIRST NAME, LAST NAME, and EMAIL ADDRESS of each individual at the facility that will require access to the Care Analytics User Dashboard.