Site Split Lead Source Web Form Please provide a brief description of the work requiredMain practice name and addressNew site(s) after split - name and addressMain contact nameMain IT contact nameDirect telephone numberEmail addressWhat CCG are you part of?If applicable, who is the contact at your CCG managing this project?Please complete the form below to give us as much information as possible regarding your Docman install.Date of splitWhich Clinical System do you use?Will the Clinical System be local or hosted?How many machines/PCs will use Docman 7 at your practice?How many machines/PCs will be used to scan paper documents into Docman 7?How many machines/PCs will need Intellisense installed to assist the filing of documents?Do you know how many patients are being taken from the original site to the new site?Do you have the patient mapping file for Docman to use during the site split?Additional commentsIf we have any questions about this form who would be the best contact?Name: Email: Telephone:Who should we contact to plan dates for this work?