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Covid Screening Signup
Free Covid-19 Screening Form Signup
LincWare is providing this solution to Senior Care organizations that provide Independent Living, Assisted Living, Nursing, Memory Care services to Seniors. We'd love to help everyone, but since we don't have infinite resources, unfortunately, we can't help everyone for free. Please only complete this form if you are in Senior Care.
*
Indicates required field
Organization Name
*
Name
*
First
Last
Email
*
This email address will be used to set up the administrator account for the Covid-19 Admin Portal. The Portal is where you can set up your locations and retrieve and report on the data from your screenings. This email can also be used for notifications of failed screenings. We take your privacy seriously, so we will only use this address to make sure you're doing ok.
NOTE:
For your safety and ours, if you provide us with a gmail account or "spammy" looking address, you will not be set up in the system.
Number of Locations
*
Number of Employees?
*
Service Levels
*
Assisted Living
Independent Living
Memory Care
Nursing
Submit
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Covid Screening Signup