Get Anything Form

Filling out the Anything Form online is a straightforward process that helps users gain access to healthcare information securely. This guide provides clear, step-by-step instructions to assist you in completing the form effectively.

Follow the steps to complete the form successfully.

1. Click the 'Get Form' button to obtain the form and open it in your browser.
2. Review the 'New User Information' section. Ensure you provide accurate details such as your name, title, facility name, mailing address, and contact information, including your phone number and email address.
3. Read through the 'User Confidentiality Agreement' carefully. Make sure you understand the obligations regarding the use of medical records and confidential information.
4. Sign the User Confidentiality Agreement in the designated area to confirm your understanding and acceptance of its terms.
5. Complete the 'Request Authorized By' section. The signature of an authorized requestor must be included. Ensure the authorized requestor's information is accurate and that they are recognized by HealthXnet.
6. After filling out all required sections, review your entries for accuracy. Once verified, follow the instructions provided for submitting your form, whether by fax or email.
7. Once submitted, wait for confirmation. If you do not receive login information within three business days, contact the HealthXnet Support Desk for assistance.

Start filling out the Anything Form online today to gain access to vital healthcare information.