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Contract Consulting Service Request Form
In order for us to provide you with a quote for our Contract Consulting Service, please complete the form below.
Please provide the following contact information:
Street Address (cont.)
Cerner Client Mnemonic
Cerner Client Number
Cerner Site/Project Contact Name
Cerner Site/Project Contact Telephone
Cerner Site/Project Contact Mobile Phone
Cerner Site/Project Contact Email
Please check the Cerner Platform in use:
Please check the Operating System in use:
What is the projected duration of this consulting engagement?
Please describe the consulting services you need in as much detail as possible:
Are there any special or unusual considerations?
If yes, please describe:
Will this project include...:
Troubleshoot Existing Programs
Interactive Programs (requiring user-interaction)
Programs to Run Automatically (from operations, etc.)
Client Training or Education
PCG Help Service
Can you provide samples of the desired output for any required programs?
Paladin Consulting Group
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