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Home > Forms and Documents > New Provider Form
New Provider Form
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(Sections I & II are specific to Practice admin eRX access. If Provider needs controlled medication access then you should skip those 2 sections and have the provider continue with EPCS within the EMR. To learn more and to start this process please contact support)

 

 

*Updated 2026*

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New_provider-_Admin_Identity_Proofing_for_eRX_Form_2026.pdf
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