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MatchRX IT Request
In emergencies please contact us at
it@matchrx.com
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* Indicates required question
Name
*
Your answer
Email address
*
Your answer
Type of issue
*
Website issues
Website Down
Pearl issue
Activate Pharmacy
Deactivate Pharmacy
Code update
Other:
Priority
*
Very high
1
2
3
4
5
Very low
What's the problem
Describe the current issue
*
Your answer
Page location
*
Your answer
Due date
MM
/
DD
/
YYYY
More details
Your answer
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