interRAI Contact Information from Users

interRAI is requesting that all organizations with a licence to use our instruments provide us with the following contact, data submission, and vendor(s) information. When you have entered all required information below, click Submit.

Please direct any questions to contracts@interRAI.org.

Contact Information

Are you a... *

Enter the names and contact information of your organization’s primary and secondary (if applicable) contacts for licensing and contracts.

Primary Contact: Name *

Primary Contact: Email *

Primary Contact: Phone *

Secondary Contact: Name *

Secondary Contact: Email *

Secondary Contact: Phone *

Enter the name and email address of the person leading interRAI implementation activities.

interRAI Content Leader: Name *

interRAI Content Leader: Email *

If your organization will be paying license fees and royalties directly to interRAI, please enter the name and email address of the staff responsible for accounts payable.

Finance Contact: Name

Finance Contact: Email

Enter the names and email addresses for two staff who require access to the interRAI Repository.

interRAI Repository User 1: Name *

interRAI Repository User 1: Email *

interRAI Repository User 2: Name *

interRAI Repository User 2: Email *

Instrument Usage

Identify each interRAI instrument your organization is using, and specify which version and language. Use the "Add Another Instrument" field to add more instruments/rows. If you run out of space (the form allows for 10 rows/instruments), use the text box ("Enter additional instruments...") to type in any additional instruments, including version(s) and language(s).

Instrument *

Version *

Language

Add Another Instrument

Do you have any comments/testimonials about your use of interRAI systems that we could make available to others?

Do you have any feedback for interRAI about the interRAI systems?