FidelityEHR Helpdesk
This form is to be used for technical assistance requests related to FidelityEHR.
Email *
Name *
Phone Number *
User Name *
Agency *
Web Browser *
Issue *
For issues with POCs, Contact Notes, or Custom Assessments, please include YID (can be found at the end of the web address for the page you're on). If requesting a new user account, please include the staff member's name, role, and email address.
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