EHR Access/Issues Form

Please add a brief title for the request/issue

Please select the type of EHR request. Requesting and revoking access should only be requested by Ops.

Select any areas you need support with.

For new access requests please select New Access Request (All)

If there are multiple practices with the same name, please select one and then add the PCN name in the additional information section. You can also select multiple practices if applicable.

Please add any screenshots that will help with resolving the issue