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Institutional Licensing Information Request Form

Use this form to request institutional licensing information about the MedCalc 3000 web based and handheld systems. Find out how we can customize and install the system for you or your hospital or organization.
The MedCalc 3000 system is licensed for use by Foundation Internet Services, LLC. The cost of such license is determined by the total number of system users at your institution (Medical staff, Nursing staff, Residents, Students, Teachers, etc. . .)
Please enter your contact information and click the submit button below. A Foundation Internet Services account manager will contact you soon.

Your name:
Organization name:
Organization type: Educational Non-Educational
Maximum number of people that will use the MedCalc 3000 system: 10 20 50 100 250 500
1000 1500 2000 3000
Your email address:
Your phone number:
Your fax number:
Indicate the modules you may want to license:     Web / Intranet
    Pocket PC
    Palm OS
    All systems
Comments / Questions:


Contact preference:    Phone Fax Email


Legal Notices and Disclaimer

All information contained in and produced by the EBMcalc system is provided for educational purposes only. This information should not be used for the diagnosis or treatment of any health problem or disease. THIS INFORMATION IS NOT INTENDED TO REPLACE CLINICAL JUDGMENT OR GUIDE INDIVIDUAL PATIENT CARE IN ANY MANNER. Click here for full notice and disclaimer.
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