Forms

eDelivery

Request for Provider/Prescriber Set-Up in Health Information Systems

Service Request Form

• Guidelines for Completing the Request for Provider/Prescriber Set-Up in Health Information Systems

Fill out and submit the Request for Provider/Prescriber Set-Up in Health Information Systems for:

• An initial set up
• eDelivery termination (if your clinic no longer wishes to receive eDelivery results)
• A vendor change (if your clinic will use a new EMR software vendor)
• Adding or removing healthcare providers and/or data sources

Paper Suppression Form

Paper Suppression Form

The paper suppression form (formerly known as "validation sign-off & paperless distribution form") is used to confirm:

1. Your EMR system receives, processes and displays the electronic reports sent via eDelivery and these electronic reports match your paper/fax copies
2. All identified health care providers have the necessary access to review electronic results
3. You would like to stop receiving paper/fax copies of the reports you now receive electronically via eDelivery