Forms

Security Access Request Forms

• UAMS Confidentiality Agreement 

EPF

• EPF Access Request  
• EPF Access Change Request

Centricity

• Centricity Physician Office – EMR (Logician)

Medipac/Reg. Workstation

• UAMS Patient Access Services Security form
• Registration Workstation Access Request Form
• HBOC Medipac Access Form
  HBOC Medipac Access Form Changes
• Eligibility Assistant Security form
  Medicaid Wizard/Address Verification Security Form
• PRWL Worklist Security form

Print Labels

• MPAC print labels form
• RegWS print labels

Sunrise

• Sunrise Access Request Form
• Sunrise Access Request Form-Students
• Sunrise Access Request Form-APN and Physicians

SoftLab/SoftMic/Soft/Path

• SoftLab/SoftMic/Soft/Path Access Form

Webchart

• Webchart Access Form

PRI Centricity User

• PRI User Access Request Form

TeleTracking Bed Tracking System

• TeleTracking User Access Request Form

PCA Form for RIST

• New PCA form for RIST

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