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Sign-on requests

To request system access to applications and/or access to the data network on your personally owned communication device, please print and complete the following forms: 

You may either email or fax the form(s) to the IT Service Center information listed on the form. Your user name and password will be returned to you either by email or regular mail. 

Physicians, residents and advanced practice providers: the above forms must be completed and received by the IT Service Center in order to gain access to vChart

If you are not sure if you have a sign-on or cannot remember the user name or password, please call 316-689-6111.