Point of Care is available to any network participating provider organization. To enroll your organization for POC access, complete the form that follows. Once your organization has been set up, the POC Administrator that you selected can set up the access for individual employees.
The following information is necessary to complete the form:
Organization Name and Address
Federal Tax ID Number(s)
POC Administrator(s) – will oversee and coordinate the use of POC at your organization
You will need the person’s name, date of birth, last 4 digits of SSN, phone number and e-mail address
Legally authorized representative to electronically sign the form
Note: if you are a designated agent, you will also need the request code you received from POC Registration
Please allow 3 to 5 business days for us to process your request. You will be notified by e-mail once the request is finalized.
If you have any questions about this request, please contact us at:
