GoodX Telemed Sign Up Form
Please do not complete this form if you are a current GoodX Web App client. Please contact your FCL for assistance.
This form is intended for the following users:
1. Users that are not GoodX clients, OR
2. GoodX Desktop App users who would like to utilize this free Telemed service. (This free service is not automatically part of your current GoodX Desktop App install. If you would like this service to be implemented as part of your current GoodX install, please contact your FCL for further information.)
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Contact Person Details
These details will be used to contact you about your install.
Contact Person Name & Surname
Contact Person Telephone Number
Contact Person Email Address/es *
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