Please complete this form to begin purchase of your software. A representative will contact you shortly. Or you may download and fax a purchase order to us.

Sale of this software will only be approved after the purchaser has reviewed the product. The purchaser's submission of this form provides verification that adequate reviews have been accomplished. The seller is held harmless against uninformed purchases. Please see other conditions and the end of this form.

All software sales are final. Need for further support can be arranged in six or twelve month increments and can be purchased at any time. When calling for support we request that you fax your questions to 360.376.5440 or email us for a faster and more extensive response. This will provide a reference for future calls. We also request that support calls be limited to 15 minutes. Please refer to the reference materials before calling for support.

The prices quoted are time sensitive and may change. If at any time during the course of this purchase prices change, you will be notified immediately and afforded any available options. The purchaser's submission of this form indicates acceptance of all licensing agreements required by the author(s) of the software and obligates the purchaser to make full payment prior to delivery. No additional terms are implied or extended other than those stated on this agreement.

The purchaser's submission will also serve as acceptance to maintain the proper hardware to properly protect data and patient rights that address HIPAA standards (EMRS especially). Altapoint Data Systems and SJ Visco Inc. are not in anyway responsible for insufficient data management or hardware implementation.