Installation Sign Off Form

Facility Name / City(required)

Installer Name(s)(required)

Installed TeamViewer from Support Website?(required)

No Yes

REQUIRED - I showed client how to power cycle, AND told them that THEY need to power cycle the DR panel otherwise it will damage the panel and VOID their warranty.(required)

No Yes

Showed client how to log in - Take 2-3 sample test studies(required)

No Yes

Installed Web/Client Viewers(required)

No Yes

X-Ray - Showed how to power down, control console and maneuver. (required)

No Yes Not Applicable

Refer client to the technique chart.(required)

Assist client with completing training form on website. (required)

Serial Numbers(required)

I showed the client where the power and tether cables are for their wireless DR panel. Select and option below(required)

I did not and will take responsibility for them Yes we put them in a secure location Yes they are using them Not applicable for this install

Submit

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