BLUEPRINT 360
CONTACT A SPECIALIST
Complete this form to learn more about
Blue
P
rint 360 from US Foods
. A Specialist will be in touch with you soon to discuss your needs in more detail.
Your Name
Your Title
Your Phone Number
Your Email
Preferred method of contact
Email
Phone
Name of your community
Do you have affiliation with an ownership group or larger network?
Yes
No
If Yes, please provide the name
Level(s) of care you service (select all that apply)
Long Term Care/Skilled Nursing
Assisted Living
Memory Care
Independent Living
Life Plan Community/CCRC
Acute Care
Other
If Other, please specify
Average number of occupied beds
by
level of care -
Long Term Care/Skilled Nursing
Average number of occupied beds
by
level of care -
Assisted Living
Average number of occupied beds
by
level of care -
Memory Care
Average number of occupied beds
by
level of care -
Independent Living
Average number of occupied beds
by
level of care -
Life Plan Community/CCRC
Average number of occupied beds
by
level of care -
Acute Care
Average number of occupied beds
by
level of care -
Other
Status with US Foods
US Foods is my primary food & supply vendor
US Foods is my secondary food & supply vendor
I do not currently purchase from US Foods
Customer number (
if actively purchasing from US Foods
)
Who is your current menu provider?
What solutions are you interested in speaking with a Menu Specialist about?
(
Select
all that apply)
Menu planning & costing
Resident management (tray card/ticket)
Point of Sale technology
Tablet-based ordering
Other
If Other, please explain:
Do you need your menu planning software to integrate with an Electronic Medical Record system?
Yes
No
If Yes, please include the name of your EMR provider
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