*Program Revision
(found at the top right corner of the OneTouch main menu)

L M1 M3 M4 N P Other
If other, please specify

*Network

Novell Lantastic Multiware Win9x Other
If other, please specify

Word Processing

WS2000 Word Perfect 5.1
Word Perfect 6.x MSWord

* Does problem occur with:

All machines	Yes No
All patients	Yes No
Every letter	Yes No

Please describe the problem below.

Be sure to list:

1. The module name
2. The error number
3. The line number

Include any changes you have recently made to your system. Please also include the steps you were taking when you received the error.

* Indicates required field.