Product Information Request - New to Orchard Products

Thank you for your interest in Orchard Software's line of products. Use the form below to let us know what information you would like for us to send. Note that there are different forms for current Orchard Software customers and for those who are new to Orchard products.

Please complete the following fields and then click the Submit Your Request button to send your request for additional information to the Orchard Software Sales team.

Product Information Request Form

Contact Information
Name:*		Title:
Company:*
Address 1:*
Address 2:
City:*		State:*
Zip Code:*		Country:
Phone:		Fax:
Email:

Privacy Note: This information will be used to contact you regarding the information you have requested.
* Denotes a required field.

Requested Information
I am interested in: (Check all that apply.)	Orchard Copia outreach solution Orchard Harvest LIS Harvest Webstation (with Harvest LIS) Harvest Microbiology (with Harvest LIS) Orchard Pathology Other (please specify below)
The most important features are: (Check all that apply.)	Medical necessity screening Rules-based technology Web-enabled outreach Email result delivery Microbiology Anatomic Pathology (AP)/Cytology Blood Bank Interfacing with other systems Interfacing with reference labs Other (please specify below)
Please tell us more about your facility:	Type of Lab Facility? Physician Office Laboratory Clinic Hospital Reference Laboratory University Student Health Center Public Health Laboratory Other (please specify below) This will be a: New installation Replacement system Name of current system Number of workstations Number of lab tests performed per year? 0 - 50,000 50,000 - 100,000 100,000 - 250,000 250,000 - 500,000 500,000 - 1,000,000 1,000,000 or more Types of testing performed? (Check all that apply.) Chemistry Coagulation Hematology Urinalysis Other (please specify below) Select the other systems currently in place: (Check all that apply.) EMR HIS PMS Other (please specify below) Remote location information: Number of remote locations? Number of remote locations with labs? We do not currently have remote locations. Select the reference laboratories used: (Check all that apply.) LabCorp Quest Other (please specify below)
Please tell us more about your plans for implementation, if possible:	Timeframe for purchase: 0 - 6 months 6 - 12 months 1 - 2 years 2 or more years Allocated or expected budget: $0 - 25,000 $25,000 - 50,000 $50,000 - 100,000 $100,000 - 250,000 $250,000 - 500,000 $500,000 or more
I would like Orchard to: (Check all that apply.)	Contact me (Did you provide your phone/email contact information?) Send me an information package Set up a product demonstration
I heard about Orchard from: (Check all that apply.)	Trade magazine (please select one) Advance AL (Administrator of the Lab) Advance HIE (Health Info Executive) Cap Today CLP Health Data Management Health Management Technology Laboratory Medicine MLO Direct Mail Tradeshow Newsletter (news@orchard) Internet search Referral from Other (please specify below)
When you have completed the form, please click the Submit Your Request button below to send us your request for information.

Search Our Site

Customer Sign In

Quick Links

News@orchard

Product Information Request - New to Orchard Products

Product Information Request Form

Contact Information

Requested Information