DTI Fax Support Request                           
DTI - Makers of QuicDoc® and Office Therapy®

Date:	

To:	DTI Technical Support
	Phone:	888/308-9683
	Fax:		301/766-4097

From:	Agency Name:
	Full Name:
	Phone:	
	Fax:		

Pages:	

I am requesting Help with            QuicDoc   Office Therapy  QuicForms  (Please Circle)
			       Other:  
Version _________________

My computer’s operating system is ________________________________

My processor type is a   _________________ running at   ___________GHz

I have  ____________ GB of RAM Installed on my computer.

I am using the program on a   ___  Single PC/Single Computer.	
			  ___  Network with _____  workstations.

I have received the following error message and I have the following issue/question. Please describe your question or problem in detail, including the conditions under which the behavior occurs and any error messages: