Sequest - Service Request

Service Request

Please fill out and submit the service request form.

* Client Organization:	* Client Representative:
* Email Address	* Phone Number
Date of Request:
Please provide Sequest Technologies with the business need for the requested work/product.
Please provide Sequest Technologies with a description of the product/service requested.
Please Answer: Are you authorized to request Sequest services? Do you have an understanding of the requirements for requested work? Are there any time constraints for requested work?
Comments (Please provide any other information that Sequest should be aware of when processing this work order request)

August 25th, 2011
Sequest’s TIER® Solution is Compatible with Part 599 of Title 14 NYCRR for the State of New York Regulations and Guidelines.
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August 19th, 2011
Harsha Behavioral Center Selects Sequest’s TIER® Solution for Electronic Health Records
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