REQUEST ACCESS

A completed Security Access Form must be submitted for remote access to records.
Find the form for your state below.

 

*All information on the form is required*

The email address and cell phone number will be used for 2-factor authentication.
This means when a user logs in they will receive a 4-digit code via email or text.
*Select the "Don't ask me again" option to create a 90-day
"fingerprint" to avoid being prompted for the code at each login.
 
 

You can type your information into the access form, but you will need
to print the form to sign the Confidentiality & Security Agreement.
No access will be created for forms without a signature.

 
For additional support contact our Service Desk at 1(877)470-5065

*** iMobile Update - Click here for details ***

REQUEST ACCESS

A completed Security Access Form must be submitted for remote access to records.
Find the form for your state below.

 

*All information on the form is required*

The email address and cell phone number will be used for 2-factor authentication.
This means when a user logs in they will receive a 4-digit code via email or text.
*Select the "Don't ask me again" option to create a 90-day
"fingerprint" to avoid being prompted for the code at each login.
 
 

You can type your information into the access form, but you will need
to print the form to sign the Confidentiality & Security Agreement.
No access will be created for forms without a signature.

 
For additional support contact our Service Desk at 1(877)470-5065