Printable Forms for Application Access
All forms are in pdf format,
unless otherwise specified. Download the
Adobe Acrobat Reader first, if you don't have it already installed.
NEW Request for Referring Provider Dictionary Entry (Word). Once completed, please fax to UMA Information Systems, x2-1898.
NEW Interactive Rightfax User Request
- Anonymous FTP Directory Request (on-line form; requires NetID)
- Circuit Requests
Dragon Voice Recognition
eCareNet Viewer (vOacis)
- eCareNet Viewer Security Agreement
- eCareNet Viewer Timeout Request Form
- eCareNet Viewer Data Change Request Form
- eCareNet Viewer Non-MUSC Sponsorship Form
Horizon Folders Access Forms Updated 4/16/2010
- Patient Folder System Access Request
- Business Folder System Access Request
IDXtend/Flowcast Security Agreement
Keane/PatCom Plus/Optimum:
- Keane Security Agreement and Patient Accounting Functions
- CQ Report User Request Form
- Patient Registration Management
- ARMS Functions
- Chart Management Functions
- Medical Records Abstracting Functions
- Hospital Security Maintenance Functions
- Master Patient Index Functions
- Utilization Management Functions
- Patient Refunds
KRONOS (managed by Human Resources; scroll to bottom of page)
LYNX -- this account is created as part of the NetID process
LYNX Applications -- NEW PROCESS: Call 2-9700 during business hours; you will be asked for the machine ID.
NetID -- access to "NetID" applications is managed as part of the NetID process
McKesson -- includes Physicans Portal
Medflow Access Security Agreement
Partner Connection Policies and Procedures (third-party connections)
PICIS (access OR scheduling and clinical documentation)
Practice Partner
RightFax User Request
SmartStream (managed by Division of Finance and Administration)
VA CPRS (Computer Patient Record System)
Web1000
WebApps -- this account is created as part of the NetID process. Contact 2-9700 to have applications added to your account.