PointClickCare Integration request

Before submitting this form, please follow the below steps to request the app activation:

• Log in to PointClickCare.
• Do one of the following:
• Single community: Home > Marketplace > Manage Integrations.
• Multi-community: Management Console > Home > Manage Integrations.
• Click Activation Request and Complete the following:
• Legal Organization Name - Type the legal name for the organization at the time the request is made.
• Application - Select Empeon.
• Select facilities to activate application - Select the communities in which the application is installed.
• Title - Type the title of the authorized requester.
• Which email would like to be notified at? - Type email address. This email is used for communication regarding this request.
• Requested By -Type the first and surname of the requester. Requester must be an authorized signer for your organization.
• Health Care Provider - Type the Health Care Provider name.
• Please read and agree to the Terms of Agreement to continue - Read the Terms of Agreement and click Accept.
• Click Submit.
• An Empeon representative will reach out to you

Please note: There will be a $50 fee per company per month