BPAC User Changes Form 2017

Page 1

User Registration (Add/Remove users) Please use this form to add new or remove staff access to bestpractice, and return to

BestPractice Decision Support PO Box 6032 Dunedin

Freefax:

Email:

itservicedesk@bestpractice.org.nz 0800 107 673

Practice Name Phone No

PHO:

Practice Email Date USER DETAILS Name Email NZMC / NZNC HPI No ACC Provider No* Acc Vendor/Facility ID*

□ GP □ PN □ NP □ Admin □ BPI Access □Requires BPAC log-in link to eReferral log-in □ New □ Remove *mandatory for incisive specialists

Name Email NZMC / NZNC HPI No ACC Provider No* Acc Vendor/Facility ID*

□ GP □ PN □ NP □ Admin □ BPI Access □Requires BPAC log-in link to eReferral log-in □ New □ Remove *mandatory for incisive specialists

Name Email NZMC / NZNC HPI No ACC Provider No* Acc Vendor/Facility ID*

□ GP □ PN □ NP □ Admin □ BPI Access □Requires BPAC log-in link to eReferral log-in □ New □ Remove *mandatory for incisive specialists

Name Email NZMC / NZNC HPI No ACC Provider No* Acc Vendor/Facility ID*

□ GP □ PN □ NP □ Admin □ BPI Access □Requires BPAC log-in link to eReferral log-in □ New □ Remove *mandatory for incisive specialists

After the user set-up changes are completed, we will email you a revised list of your registered users. Decision Support 2017


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