Get Electronic Health Record Systems - Rmp User Access Form - Remotehealthatlas Nt Gov

Completing the Electronic Health Record Systems - RMP User Access Form is crucial for rural medical practitioners seeking access to essential health systems. This guide will provide you with detailed instructions to facilitate the online submission process.

Follow the steps to effectively complete your user access form.

1. Click ‘Get Form’ button to obtain the form and open it in the editing interface.
2. Fill in your last name and first name in the respective fields. Ensure that all information is printed clearly for accuracy.
3. Provide your work phone number and mobile phone number. Enter a valid email address for correspondence.
4. Indicate if you have a generic email for TMS users. Select your gender and fill in any personal details if you choose to do so.
5. Specify your current work unit or location, prescriber number, and Healthcare Provider Identifier – Individual (HPI-I) number.
6. Input your ePASS/LAN User ID. This is necessary for all users of NTG computer systems.
7. Select a security question for identification verification during password resets.
8. Indicate the anticipated dates of access in the provided sections.
9. Choose your role and default profile from the options provided. Make sure your selections align with your responsibilities.
10. List the health centres or hospitals where you will primarily work, selecting from the provided options.
11. Read and acknowledge the applicant declaration by signing and dating the form.
12. Have your supervisor complete the authorization section. They must sign and date the form to confirm your access request.
13. Submit the completed form by faxing it to the provided number. Allow five working days for processing.

Complete your application today and gain access to the necessary health record systems.