Installation Checklist

Save & Return Account (optional)
New Users / Returning Users CLICK HERE to setup or return to your account for this form. Creating an account enables you to return to this form and your submitted results. An account will also enable you to partially complete this form and return later to finish. The account you establish is only for this form.

Clinic Information

For a quick overview of how to fill out the is form, click here
If you have any questions on how to complete part of your install, click the link in this form to take you to the respective page. you can also visit for more information regarding your install. 
For any technical issues during your installation, please fill out this form. A technical support representative will contact you shortly. 
You may also visit (un:  pw: RedCat07) for manuals, installation videos, etc. 
Type of Installation *
Does the clinic have internet access?
Does the clinic have internet access in the field?

Acquisition Station

Connection Type
Acquisition Computer
SmartDR Configuration
Canon CCS Configuration
Sprint Bolt Configuration
Port: 104
AE: if you do not have it, please fill out this form
Test Patient Created?
Modality Worklist (MWL)