Dental4Windows sql Configuration Form (Database Set Up)
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1 PG 1 Dental4Windows sql Configuration Form (Database Set Up) Customer Name: Customer Reference Number: Dear New User, In order to correctly configure the system to your particular business needs, we ask that you please take a moment to complete this form. When completed, please fax, post or this form to Centaur Software using the details below. What is Database Configuration? Database Configuration is the customisation of Centaur applications specifically for your practice. The information you provide in this form will help us to modify your Centaur application to your specific needs. Information Regarding Computing Environment Where Centaur Application is referenced, it refers to either of the following products: Dental4Windows sql Version 12 Practice Studio sql Version 12
2 PG 2 Computer Technician Details Please provide the contact details of your hardware technician. These will help us to manage issues that are not software related and require either an on-site visit by your technician or require a specialist to resolve. Full Name: Contact Number(s): Important Centaur Software is not responsible for your Windows or hardware issues such as printers, backups, networking or any other similar issues. This is the responsibility of the person or company that supplied that equipment in the first instance. Centaur Software does not setup any form of backup tools for your data. All backup processes must be setup by your computer technician. However, for our customers who are on full Support & Maintenance agreements, if time allows we will spend minutes looking into the issue (or longer if we think we can solve it in a reasonable amount of time) at no charge. If we cannot resolve the issue we will pass it back to your hardware technician. We will then move into a management role, where we will contact your technician on your behalf and explain the issue, follow up and assist with information/experience if possible. Centaur Software is not responsible for any costs billed to you (or us, on your behalf) by your hardware technician or any other third party. X-ray Software Technician Details If you intend for your Centaur Application to link to an external X-ray/Imaging system, please provide the contact details for the technician or sales representative that is responsible for this system. These will help us to manage issues that may occur with the linking of the two software systems. Full Name: Contact Number(s):
3 PG 3 1. Please list all provider Bank Accounts Details Dr (Provider) Name Bank Account Name Bank Name Suburb Account Number BSB: Acc: BSB: Acc: BSB: Acc: BSB: Acc: NOTE: Bank Account information is for REPORTING purposes only. At no point do Centaur Applications affect your actual bank accounts or payments. 2. If you would like a separate account created for Electronic HICAPS Payments, please specify the name of the Account (e.g. HICAPS) 3. Please specify the paper size that you will be using (A4/A5) Accounts/Receipts Reports 4. What type of letterhead will you use? (Please tick below and provide details) PRACTICE LETTERHEAD (1 letterhead for the entire Practice) OR PROVIDER LETTERHEAD (1 letterhead per Provider)
4 PG 4 5. Company & ABN Details Company Name ABN Principal or Principals Details (e.g. Dr Joe Smith) Name Business Location & State Contacts 1 Tel: ( ) Fax: ( ) 2 Tel: ( ) Fax: ( ) 7. Provide letterhead Details Example Centaur Dental Pty Ltd Dr Frank Papadopoulos [Qualifications] Tel: Suite 502, 410 Elizabeth St Fax: Surry Hills, NSW Support@centaursoftware.com Letterhead options The letterhead can have different fonts The text can be resized Address fields can be moved Logos can be added depending on size and provided they are in a picture format i.e. jpg, bmp, gif For any queries regarding letterhead setup, please contact us.
5 PG 5 No 8. Please provide details of all service providers (including principals) Service Provider s Name Provider Number Appointment Book Number Security Access Level - 1, 2 or 3 (3 has highest access. 1 has lowest access) Hygienist Name (This is the hygienist that works under this specific Provider) EG Dr John Smith T 1 3 Ms Sarah Taylor Are any of the above providers Hygienists? Yes No If yes, do the Hygienists work for more than 1 provider? Yes No If yes, please fill out the hygienist column to match the provider they work under. 10. Have you purchased the HICAPS link? (If no, proceed to question 12) Yes No 11. Do you have the HICAPS cable? Yes - Please ensure the terminal and computer are connected before the setup. No - Please call HICAPS on to order the HICAPS cable and also request the USB Convertor (allow 2-4 weeks for delivery) Please be advised that Dental 4 Windows only works with Hicaps Terminal and not any other terminals.
6 PG Have you purchased the Professional Package of the Centaur Application? Yes (Please fill in the tables below) No (Please skip to question 13) A. Number of Appointment Books required: B. If required, lunch break start and finish times: C. Please provide the duration of the Appointment interval timeslots (usually 15 Min)
7 PG Practice Studio sql Only (if not applicable, please skip this question) Please tick the categories you would like to appear in the items section Chiropractor Optometrical Physiotherapy Podiatry Diagnostic Services Massage Therapist Osteopath 14. Do you have internet based connection (Broadband)? Yes No We strongly recommend that you or someone on your behalf (such as your computer technician) reads the following documentation that is included on the installation CD under the headings: System Requirements Data Backup Requirements Data Backup Best Practices Configuration Guide Remote Support Guide Database Validation
8 PG 8 Please sign that the above information is correct: (Only the PRINCIPAL of the business) Full Name: Signature: Date: Practice Name: Website Address: When complete, please send to Centaur Software: FAX: (02) ics@centaursoftware.com POST: Suite 502, 410 Elizabeth Street Surry Hills NSW 2010
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