WYFI Connection Request
The Wyoming Department of Health wants to identify healthcare facilities and providers who are interested in exchanging data with Wyoming Frontier Information Health Information Exchange (WYFI).  Please send your contact information to the WYFI Team and we will contact you to start the connection process.  We look forward to working with you!
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Email *
Name *
First and last name
Organization Name *
Provider or Facility NPI# *
Organization Business Category *
Organization Type *
Phone number *
Address; City; State; and Zip Code *
What Electronic Health Record do you use? *
EHR Certification Number or EHR Version if known?
What information is your organization interested in exchanging with WYFI? (Check all that apply) *
Required
Additional Comments or Questions?
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