PRIMARY CARE CENTER

GURU Application * On-Line Support

Feedback Form

WELCOME!
.... Home Page
.... History
.... Frequently Asked Questions
.... GURU Manual [doc]
.... GURU Functions [doc]

ON-LINE TOOLS
.... Generate Vaccine Labels

RECENT ISSUES
.... Daily Downloads
.... Weekly Downloads
.... Y2K Information
.... Immunization Tracking
.... Flu Shot Status - 1999 to 2002
.... Original Flu Shot Status - 1999

COMMUNICATION
.... E-Mail Discussion List
.... On-Line Feedback Form

LINKS OF INTEREST
.... CHP Home Page
.... AAP Home Page
.... mdbs Home Page

This form will allow you to provide feedback to the developer of the GURU applications for the General Academic Pediatrics department. It will also process requests to add/remove a person from the user database, and/or add/remove a person from the GURU e-mail discussion list.

Hint: Move your cursor to the inside of each box, click, then start typing. When you're done typing inside the box and want to move to the next box, press the TAB key or move your cursor to the next box and click. DON'T press the ENTER key, because that is the same as clicking on the "Send Request" button at the bottom, and it may send off this form for processing before you're done completing it.

Note that the boxes marked with a double-asterisk (**) MUST be entered so that this form can be processed successfully. Thanks.

** Your Name ** Your Preferred E-mail Address

Please click on the checkbox(es) for the task(s) being requested:

Add the person below to the GURU user database
Remove the person below from the GURU user database

Add the person below to the GURU e-mail discussion list
Remove the person below from the GURU e-mail discussion list

** User's Full Name:
** User's Preferred E-mail Address:
Select the Best Description of User's Title/Occupation:

Other Comments, Questions, or Suggestions?

Please type in your feedback below:

This will send an e-mail message with the above information to the developer of the GURU applications. Confirmation will be sent back to you within a day or so. THANKS!!!

This will clear all the above info entered so you can start over.