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Add new user
Use this form to request the setup of a new staff member in medtech cloud.
Requestor Email Address:
*
This is required to determine the eligibility to create new users and is where progress updates will be sent.
Practice Name:
*
New Staff Member's (First and Last) Name:
*
It is important to be accurate here; if the Staff's name is incorrect it can be problematic to correct later in the IT systems. Generic names such as 'Reception' or 'Consult' will not be accepted.
Select Staff Role:
*
Select a staff member role
Doctor
Nurse
Receptionist
Admin
Manager
Health Assistant
Other
If the user does not match any of the listed roles, please select 'other'
What services does this User require?
Remote Access
SPLA License
Level of Urgency
*
Standard SLA (3 Days)
Urgent Request
Request New User
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