Get Epiccare Link Ssm

Completing the Epiccare Link Ssm form is essential for users transitioning from Clinical Browser/SSM Connect to EpicCare Link. This guide provides step-by-step instructions, ensuring clarity in filling out each section of the form.

Follow the steps to complete the Epiccare Link Ssm form accurately.

1. Click the ‘Get Form’ button to access the Epiccare Link Ssm form and open it in your online editor.
2. In the 'Group Name' section, enter the official name of the group requesting EpicCare Link access.
3. List the names of the physicians associated with the group in the designated section provided for 'Physicians’ Names.'
4. Designate a 'Contact Person' who will be responsible for communications regarding this request, and input their name.
5. Enter the 'Phone Number' of the contact person, ensuring it is correct for any follow-up queries.
6. For the 'User First & Last Name,' provide the complete names of individuals who will be using the EpicCare Link system.
7. Fill in the 'Current User IDs' for each person listed, which helps in linking their existing accounts to the new system.
8. Input the last four digits of the Social Security Number (SSN) for each user, maintaining accuracy to secure their identification.
9. Once all sections are completed, review the form for accuracy and completeness before proceeding.
10. You can then save your changes, download the form, print it, or share it as necessary for submission.

Complete your Epiccare Link Ssm form online today to streamline your transition to the new system.