The security access form is meant for requests to grant access to non-credentialed office staff such as RNs, NPs, PAs, Record Techs, Front Desk staff, etc. These are office staff members that never see or round on patients physically bedded at the Medical Center Navicent Health. Access will only be granted to office staff employed by a credentialed physician or dentist. Once the request has been approved and completed, the access codes will be mailed to your office.
Please complete and make sure that all the Office Staff members needing access, have the last 4 of their SSN(s) and signature(s) on the form. Fax all pages to 478-633-6645. Computer System Access will not be granted until this is received. If you have any questions, contact Erin at 633-7272.