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This form is intended to be submitted on behalf of an organization. If you're seeking individual application login credentials, please contact your organization's Pulsara administrator for assistance.

To accept terms on behalf of your System or Corporation, please select Healthcare System or Corporation from the drop-down list.

I understand that access to and use of the platform, Software, and Pulsara's services are offered subject to acceptance of Pulsara's Terms of Use (the "Terms"). 

Please note: If your organization has already established Terms of Use with Pulsara, your signup will be bound by those existing Terms. If you wish to confirm whether your organization has established Terms, please contact us at customeronboarding@pulsara.com