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VCUHS PAGER REQUEST FORM
VCUHS Communication Center
Post Office Box 980460
Richmond, Va. 23298-0460
Note: Please wait for a reply in your email stating that your pagable device is ready for pickup.
What would you like us to do?
What do you want to do?
Add A New Pager
Add A Cell Phone as the Pager
Add a Spok App as the Pager
Change an existing Account
Delete and existing Account (Must Return Pager Befor Deleted)
Exchange
Department Information
Authorization:
Your Name:
Department Name:
Your Lawson Code (required):
Your Email Address:
User Information
Employee Unique ID:
User Last Name:
or function name
First Name :
MI:
Phone Number
Cellular #
Published or Unpublished?:
Do you want the cell# public or not? (choose)
Do not published cell # (keep private)
Publish cellular # as a contact # on paging system
Mobil Phone Provider?:
To Add or Change cell as pager
Choose Cellular Provider Used As Pager
Verizon (Best coverage in the hospital)
ATT (Second best coverage)
Sprint (Adequate coverage)
T-Mobile
Box Number
Title:
Location:
Building Name?
700 BUILDING
AMBULATORY CARE CENTER
BIO TECH
CHILDREN'S PAVILION
CLINICAL SUPPORT CENTER
CRITICAL CARE HOSPITAL
EGYPTIAN BUILDING
GATEWAY BUILDING
HAYES E. WILLIS HEALTH CENTER
LYONS DENTAL BUILDING
MAIN HOSPITAL
MASSEY CANCER CENTER
MCGUIRE HALL & ANNEX
MCGUIRE VA MEDICAL CENTER
METROPOLITAN MEDICAL BUILDING
MOLECULAR MEDICAL RESEARCH BUILDING
NELSON CLINIC
NORTH HOSPITAL
NOW CENTER
OLD CITY HALL
ONE CAPITAL SQUARE BUILDING
ONE FRANKLIN SQUARE
RICHMOND MEDICAL COMMONS
SANGER HALL
SPORTS MEDICINE CENTER
ST MARY'S HOSPITAL
STEPHEN PUTNEY HOUSE
STONY POINT MEDICAL PARK
TECHNOLOGY SERVICES BUILDING
VIRGINIA TREATMENT CENTER
VMI BUILDING (MECHANICS INSTITUTE)
WEST HOSPITAL
WOOD MEMORIAL BUILDING
ZEIGLER HOUSE
Floor/Room #
Pager Information
If needed
Pager Provider
What Pager Provider?
RCV
Aquis
USA Mobility
Use Cell Phone
Other
Other (Explain):
Pager Number:
Message ID#:
Reason For
Exchange or (Any Notes)
Send Information to Update the Pager Director Listing