Request for Provider/Prescriber Set-Up in Health Information Systems
Service Request Form
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
By completing and signing this form you have verified and agreed to the following:
- All providers working at this clinic will have paper suppressed
- You have confirmed that all results set up for eDelivery are successfully being received in your EMR
- Not all paper/fax can be suppressed such as copy-to and letters
- Only results set up for eDelivery will have paper/fax delivery suppressed
