PlacementPro Facility User Request Form

Clinical Placement Tool for Scheduling

New Facility PlacementPro User Request Form

Congratulations on completing Partner Training.  You are now ready to request your PlacementPro account.  Note that this form is for FACILITY Users! You will need the 2 clues and completion code you saw in the training content.

Name(Required)
Enter this number if appropriate for contact purposes!
Your full email address will become your username for PlacementPro!
Enter the full name of your Facility or Health System.
State(Required)
Related to your scope of management answer above, list the specific campuses, departments, practices, clinics, etc. that are your responsibility.
Clinical Users have full use of PlacementPro to approve and add placements, AND vet students' and instructors' clinical requirements for approval or rejection. HR Users can only vet clinical requirements. Departmental Directors may only review students assigned to the specific department.
Primary Users are a main point of contact and use PlacementPro most often. They receive automated mail from the system. Backup Users use the PlacementPro system occasionally to assist the Primary Users. They may or may not receive email from the system. HR Users typically do not receive email notifications so you should choose Backup for this question.
This clue was in Part 1 of the New Partner Training!
This clue was in Part 2 of the New Partner Training or CRM Training depending upon your role!
The completion code was in Part 2 of the New Partner Training or CRM Training depending upon your role!
Is there any other information that we need to know related to account request? If so, provide this information below.

Thank you for reaching out.  We’ll be back in touch soon!