Loading
            
                Get Idx Centricity Web Sched (ambulatory Services) Access Request
How it works
- 
                    
Open form follow the instructions
 - 
                    
Easily sign the form with your finger
 - 
                    
Send filled & signed form or save
 
How to fill out the IDX Centricity Web SCHED (Ambulatory Services) Access Request online
Completing the IDX Centricity Web SCHED (Ambulatory Services) Access Request is crucial for users needing access to ambulatory services. This guide walks you through each step of the form, ensuring clarity and ease of use.
Follow the steps to successfully fill out the access request form.
- Click ‘Get Form’ button to acquire the form and open it for completion.
 - Start by filling out the top section, which should be completed by the manager. Enter the employee's name, title, last name, employee number, employer (choose from the options provided), department name, and department phone number.
 - The manager should provide their name and contact phone number, as well as specify the scheduling locations that the access request pertains to by marking the appropriate checkboxes.
 - If the request involves an area change for non-UCH employees, indicate whether to add a new clinic or transfer to a new clinic. Also, specify if the request involves new access or select functions that require scheduling access.
 - Employees must sign and date the form to confirm their agreement to use the IDX Centricity Web responsibly, followed by the manager's signature and date.
 - The trainer will fill out their section, including their name, signature, and the date on which the form is faxed to the Information Services team, as well as web access and new access details.
 - Lastly, the Information Services team will complete their part by assigning a user ID and providing updated access credentials. Ensure any necessary training information is communicated clearly.
 - Once all sections are filled, save the changes, download or print the form as needed. The completed form should be faxed to the IDX Training Team.
 
Complete your IDX Centricity Web SCHED Access Request online today!
The deal closed on July 11, 2018. Virence subsequently merged with athenahealth - another medical software vendor purchased by Veritas Capital in 2019. The Centricity brand continues to be owned by GE Healthcare.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
        - 
                    In businnes since 199725+ years providing professional legal documents.
 - 
                    Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
 - 
                    Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.