Please complete the below checklist to join the Fred Insider Program

Your name

Email address

Phone number

Pharmacy name

Pharmacy address

Pharmacy postcode

1. Which solutions do you currently use in your pharmacy?

Fred DispenseFred OfficeOther

2. In preparation for the new Fred NXT solution, an in-store IT check will need to be performed by Fred IT to confirm the suitability of your current system. Would you like to be contacted by a Fred team member to arrange this?

YesNo

3. Fred IT is currently engaging with most pharmacy IT vendors with regards to integrations. Please indicate which pharmacy partner solutions you are currently using in your business

GuildcareMedadvisorWebsterWillach ConsisMedico PackHealthnotesIntellipharmOther

4. For planning purposes, please confirm your preferred Fred NXT upgrade timeframe

January-March 2016March-June 2016June-September 2016

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