Help Desk Support

If you experience technical difficulties, please use this form to report any problems. Our customer support team will investigate your issue and will contact you directly. Please provide a phone number and/or email address.

Our Support staff is available to address issues seven days a week. Support coverage is limited during evening hours. We realize the possibility of providing immediate assistance to some “third shift” users may be difficult. We will do our best to accommodate all work schedule hours.

Name & Contact Information

User name:

Hospital / facility:

Contact Information (Phone and/or email)

 

Date & Time

/ /

Time that you experienced a technical problem: :

 

Describe your problem

Please describe the problem you are experiencing:

Forgot PIN or User Name

Site was slow

Cannot log in (Please provide more information below in comments)

Security Token Lost

Security Token Broken

Other Comments: