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QUOTE REQUEST

NURSE CALL BUDGET

QUOTE REQUEST FORM

Jeron Nurse Call Budget Guide

Please complete the form below so DTB Systems can prepare a preliminary budgetary quote for a Jeron Nurse Call system. This form is intended for early budgeting and planning. A final proposal may require a site visit, drawings, and additional system details. The more room counts, information and drawings you can provide, the more accurate the budgetary quote will be.

1 | Facility Information

Facility Type
Hospital
Clinic
Skilled Nursing
Assisted Living
Memory Care
Behavioral Health
Surgery Center
Other
What type of project is this?
New Construction
Remodel / Expansion
Replace Exisiting Nurse Call
Service / Upgrade Existing Jeron System

2 | Project Timing

What stage is the project in?
Estimated project timeline
Do you have a drawing available?
Yes
No
Not Yet

3 | Existing System

Do you currently have a nurse call system?
Yes
No
Current system manufacturer
Are you looking to reuse any exisitng wiring?
Yes
No
Unsure

4 | Facility Size

Room type

5 | Required Nurse Call Feaures

Select all that apply

6 | Communications Workflow

How should staff receive calls?
Nurse Station Console Only
Dome / Corridor Lights
Mobile Devices
Wireless Phones
Overhead Paging
Existing Phone System
Unsure
Do you need call escalation?
Yes
No
Unsure
Do you need staff presence or staff tracking?
Yes
No
Unsure

7 | Infrastructure

Is network infrastructure available in the project area?
Yes
No
Unsure
Is emergency power available?
Yes
No
Unsure
Is this project to meet healthcare code requirements?
Yes
No
Unsure
Will DTB Systems be expected to provide cabling?
Yes
No
Unsure

8 | Budgetary Quote Preference

What type of budget are you requesting?
Rough Order of Magnitude
Budgetary Proposal
Formal Quote
RFP Response
Would you like the quote to be broke out by phase or unit?
Yes
No
Any known budget range?
Under $50,000
$50,000 - $100,000
$100,000 - $250,000
$250,000 - $500,000
$500,000 +
Unknown

9 | Additional Notes

Submit Your Request

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