Commmunity Links - Health Care Organization Information Form

ASAPs: Use this form to record information about an authorized Health Care Organization (HCO) that will use Community Links. The information you record here will be reviewed by SIMS Support staff, and then updated in the SAMS Administrator.

You can:

* Request a new HCO

* Request changes to an existing HCO.


Due diligence: before you use this form, please review the SAMS Administrator to see if the organization or NPI is already in use.

    Information Request

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