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User Setup Form

Person completing this form


Directions

  • Please complete this form to create accounts for non-prescriber Mediprocity users. To create Mediprocity accounts for prescribers, please contact us at support@mediprocity.com.

  • Please fill out the information below for each non-prescriber user who needs a Mediprocity account.

  • We will set up your users, place them in an organization and contact you with the passwords and encryption keys for each user prior to training.

  • Click the “+” to add additional users.

  • Questions? Contact us: support@mediprocity.com


Users:

Click the + to add another user.