' Bot detection added by Daniel Yee 090821

Essentris Request
Request Type:	New Additional Units

USER INFORMATION:
Name:
Physician ID:
User Email:
User Title:
User Phone:

COMPUTER INFORMATION:
Location (Bldg/Room#):
Host Name*:
Physical (hardware) Address*:
IP Address:
Service Tag:	(For help in locating your computer's Service Tag click here).

UNITS REQUESTED: (check all that apply)  Note: Only request areas for which you have a direct association, or need to access. Not all areas are granted by default.
1W: Neuro Rehab
4ICU: Medical ICU
5DR: Obstetrics - Labor/Delivery
5EMS: Adult Medicine
5EOB: Post Partum
5FDU: Fetal Diagnostic Unit
5NICU: Neonatal ICU
5NOF: Neonatal ICU Overflow
5NSY: Newborn Nursery
5PCTU: Peds Cardiothoracic ICU (six beds in 5PICU)
5PICU: Pediatric ICU
5W + 3F: General Pediatrics
6CRC: Clinical Research Center
6E: Oncology
6ICU: Neurosciences ICU / Neurosurgery ICU
6N: Neurosurgery
6W: Neuro/Vasc/Plastic
7CCU: Cardiac Care ICU
7E: General Medicine
7ICU: CardioThoracic ICU
7N: Cardiac Observation (COU)
7W: Medial Observation (MOU)
8DCU: Dialysis Unit
8E: Surgical
8ICU: Liver Transplant ICU
8N: Liver Transplant
8W: Urology/Head&Neck/General Surgery/Trauma
GOU: Gonda Observation unit
IOU: Interventional Observation Unit - recovery for conscence sedation, or overnight stay
ORW: Main Operating Room Area
PACU: Post Anesthesia Care Unit
PTU: Procedure Treatment Unit - Pre - post care

* To get the Host Name and Physical Address, click on 'Start' -> 'Run'. Then type in 'cmd' and hit OK. Then from the command windows, type in 'ipconfig/all' and hit enter. This will bring up a screen like this image (see figure). It has the Host Name, Physical Address, and IP Address.

Home systems or laptops are not permitted to use Essentris unless directly supported by Information Systems.