Staff Registration Form

January 13th, 2020

In order to maintain compliance with Privacy and Security rules, we need to update our database of authorized users at your office. This will help us to provide you with quality customer support and will ensure that all support we provide to your staff is compliant with the privacy and security rule.

Please complete our Staff Registration Form for your practice. If all of your employees who need to contact us do not fit on the form, please fill out multiple forms. 

Role based authorization for your workforce is one of the requirements of the HIPAA regulations.