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 Dispense Fred Office Other

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?

 Yes No

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

 Guildcare Medadvisor Webster Willach Consis Medico Pack Healthnotes Intellipharm Other

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

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

Please leave this field empty.captcha