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Inovonics Cloud Services: Site Service Order Form

"*" indicates required fields

The Site ID number will be assigned by logging onto the Inovonics Cloud Services and clicking the “Add Site” button and naming your new site. Please make note and complete this field using the assigned Site ID.
Site Address*
Authorized Representative Name*
MM slash DD slash YYYY
Requested Site Services(s)*
Please select all services below that apply.
Please provide your PO number if required by your company.
I am authorized to submit this Site Service Order form and acknowledge that the submission of this form and subsequent activation of applicable Inovonics hardware is governed by the Inovonics Cloud Services Agreement. Orders for Senior Living Enhanced Services will be acknowledged by an Inovonics order confirmation emailed after initial service activation and referenced on the monthly summary invoicing for your Organization.*
In compliance with industry best practices including HIPAA and other standards, Inovonics may need to occasionally send time-sensitive Inovonics Cloud Services notifications (Examples: connectivity, system health, data breach, critical information requests, etc…).*
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Market Segment
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