The following documentation is required to request a user account for a physician office staff member.

Document #1: Medical Office Staff Security Access Form
Document #2: Confidentiality and Security Agreement Form
Document #3: Physician's Office Staff Remote User Agreement

When all three documents (listed above) are complete, fax all three documents to 540-316-4491, ATTN: Medical Staff Office

For your reference, we have also provided a copy of the policy for Remote User Agreement for Physicians, Physician's Office Staff, and/or Contractor/Vendors, Policy 831-730

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