Get Employee Id Form

Completing the Employee ID Form online is a straightforward process that ensures you receive the necessary access to Valley Hospital's systems. This guide will walk you through each section of the form, helping you provide all the required information accurately and efficiently.

Follow the steps to successfully complete the form

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by providing your name in the designated field, ensuring that it is printed clearly.
3. Next, enter your title in the corresponding field, which describes your professional designation.
4. Fill in the entity, department, billing service, or physician practice you are associated with.
5. Input your telephone number to facilitate communication regarding your request.
6. Specify the requested date of completion, keeping in mind the one-week turnaround time.
7. For physician offices only, indicate the specific access you are requesting, such as Meditech or Billing Service Access, and check the applicable boxes.
8. If relevant, provide the name of an employee with the same job functions for user setup comparison.
9. In case of a name change, clearly state your current name and the new name you wish to use.
10. Ensure you obtain an authorized signature from management staff or a physician, along with their title.
11. Date the form and provide your telephone number again, as it is required.
12. Input your email address in the space provided, ensuring it is correct for further communications.
13. Utilize the comments section for any additional software or applications that may need to be included.
14. Once you have filled out all required fields, review your information for accuracy, save your changes, and proceed to download, print, or share the form as needed.

Complete your documents online to ensure a smooth and efficient request process.