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PinnacleHealth Link Practice Setup Form

PinnacleHealth Link Practice Setup Form

The purpose of this form is to collect the information required to setup your practice on PinnacleHealth’s HIE. Please enter as much information as possible to help ensure proper setup.

Practice Information

Please provide some general information about your practice.

Primary Practice Contact/Administrator

Please provide contact information for your primary contact/administrator. The primary contact/administrator will be notified regarding any system updates or issues. This person will also be responsible for auditing this tool for inappropriate access by practice personnel.

Electronic Medical Records

Practice Physicians

Please enter all active providers associated with your practice and include their PinnacleHealth affiliation when applicable. Email addresses will be used to notify physicians of a password reset.

Practice Users

Please enter all practice personnel who require user accounts to access PinnacleHealth Link. A sponsoring physician will be accountable for EACH staff member’s use of the system. Email addresses will be use to notify users of a password reset.

Please use this form to contact us for non-emergent questions. We will respond to you within 2-4 business days. If you have an emergent medical need please contact your doctor or dial 911.

Important: Your privacy is important to PinnacleHealth. Please read our website privacy policy to understand how the information sent via our website and extended communication beyond our website is protected.

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If this is a medical emergency, please dial 911