Forcura

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Best in Class Integration for Unmatched Efficiency
Delivering outstanding care is simpler when you partner with outstanding technology partners. When you deploy Forcura and MatrixCare in your home health, hospice, or home care agency, you can feel confident that your teams will benefit from two integrated technology vendors who are both rated by the KLAS Research organization as Best in KLAS. The result? Enhanced productivity, lower administrative costs, and the opportunity to focus on what matters most: your patients.

Forcura + MatrixCare: A Best in KLAS Partnership
When two Best in KLAS award winners join forces, the result is a best-in-class experience that redefines care delivery. Forcura’s smart workflow solution doesn’t just equip your team to make faster, smarter business decisions about who you accept into care. Forcura’s healthcare workflow software also expedites sent-to-signed transactions and simplifies managing outstanding care plans. Best of all, your data flows seamlessly and securely to and from MatrixCare – so you can get more done in your day.

Partner's Customer Authorization form to Marketplace

Consent to Share Data, including Patient Information between MatrixCare and the Partner Company is the company proposing this Authorization. Company has built an Integration to be able to populate data from your database(s) and/or from a static copy of your database(s) (including all facilities in an enterprise account) in the MatrixCare, Inc. ("MC") Solution that is updated from time to time, and, if applicable, bidirectionally. It is our policy to obtain consent from each of our customers before we allow their data to be shared with another company or party. We have a Business Associate Agreement in place with you, and we have been informed by MC that they also have a Business Associate Agreement in place with you for the protection of that information.

Please complete all the fields below and submit this Authorization form authorizing us to exchange data between MC and Company.

By submitting this Authorization, I, as a duly authorized representative of the Client/Customer, hereby grant my consent to the passage of data between the MC Solution and the Company Solution and represent and warrant that Customer is legally free to enter into this Authorization.

About you:(Required)
Your company information:(Required)
Primary Care Setting

Facility information for Integrations:

Click here for Customer Authorization Form FAQs to help with completing this form.
PLEASE NOTE:

You can individually add in the Facility information in the form below [Click the (+) to add multiple locations]

OR Upload a document with the facilities information. Please refer to this document for the specific formatting.

List all facilities requesting Integration
Facility Name
Facility Address
MC ID
 

ALTERNATIVELY : Upload File or list below

Accepted file types: pdf, xls, xlsx, doc, Max. file size: 50 MB.