Forms & requests

IT help request

Passwords, devices, email, the EHR, and access. If you can’t work at all right now, say so below and also call your supervisor.

Your name

Best number to reach you (optional)

What’s it about?

Who needs access?

Start date

Which systems?

How much is this affecting your work?

I can’t work or see clients It’s slowing me down Whenever someone has time

Which device? (optional) What’s happening? Screenshot (optional)

Make sure no client information is visible in your screenshot.

Request sent.