Site Information

Please complete all fields marked with an asterisk. This information will be used internally by the Sentis implementation team.

01 — Facility

Hospital or clinic name

Unit or department where the device will be deployed

Contact person

Email address

02 — Monitoring Infrastructure

Patient monitoring system in use

Number of patient monitors

Maximum patient capacity of the station

Video output port available on the monitoring station

Are multiple monitoring stations in use on the same unit?

Yes No

03 — Data & Compliance

Are there regulatory or organisational restrictions on where patient data may be stored?

Yes, on-premise only No known restrictions Unsure