Client

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Open a new IDEXX Telemedicine Consultants Account

General Information

Hospital Name

Address 1

Address 2 (optional)

City

State/Province

Zip

Country

Telephone

Fax

Additional Fax (optional)

Clinic Email

plain text emails only

Password

Confirm Password

Password Reminder

Enter a question specific to your company that you can answer if you need to retrieve you password.

Question (Example: Founder's name?)

Answer

Primary Veterinarian -

This contact is a doctor

Job Title (optional)

Credentials (optional)

First

Last

Phone (optional)
x

Alt. Phone (optional)
x

Report Settings

Recommendation Option

Survey Opt Out

Communications

Please indicate how you would like to receive your reports and communications from us. Note: Each column must have at least one box checked. You can select as many options for delivery as you like.	Consultation Reports	QA Reports	QA Surveys	Alerts	Submission Notice	Case Chat Messages
Opt out
Clinic EmailTest it
Clinic FaxTest it
Clinic Additional FaxTest it
Personal FaxTest it
Personal Email 1Test it
Personal Email 2Test it

Invoice Contact - Same as primary Veterinarian