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
Start →
Name
Email address
Job Title
PointClickCare Org ID
Applicable companies
Please map your PointClickCare facilities
PointClickCare Facility ID
Empeon Company ID
+ Add Facility
Comments
Agreement to Share Data and Liability Disclaimer
By submitting this form and enabling integrations for the specified company, I acknowledge and agree to share the necessary data with the third-party integration provider. I understand that Empeon is not liable for any damages arising from the integration or use of third-party services, and I affirm that I have the authority to act on behalf of the company and ensure proper authorization. While the company will make reasonable efforts to protect the shared data, I acknowledge that no data transmission can be guaranteed as completely secure, and Empeon is not responsible for any unauthorized access, hacking, or security breaches. I also authorize the third-party provider to make any necessary changes to the shared data for the integration process, and I understand that Empeon is not liable for any consequences or damages resulting from those actions. By submitting this form, I confirm my understanding and agreement to these terms.
Fee Agreement
I agree to the one-time implementation fee of $500, and the $50 integration fee per company, billed monthly.
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