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Forms

These forms are used to collect information needed to set up practices, physicians, and staff as users of HEALTHeLINK™ and for data sources to initiate the process of feeding data to HEALTHeLINK™.

• HEALTHeLINK™ Provider Registration Application
• HEALTHeLINK™ Data Source Registration Application
• HEALTHeLINK™ Participation Agreement
• HEALTHeLINK™ User Account Setup Form
• Patient Consent/Withdrawal Forms

For information on how to process a HEALTHeLINK Consent form, click here