Interested in Becoming a HEALTHeLINK Participant?

Prospective participants simply need to complete this Registration Application and email it to businessdevelopment@wnyhealthelink.com.

The enrollment forms below are used to set up practices, providers, and staff as HEALTHeLINK users and to initiate data feeding. These forms are not required when submitting the Registration Application. Our Business Development team will assist you in completing the process once the Registration Application is received and approved.

HEALTHeLINK Participation Agreement Components:  

HEALTHeLINK Participation Agreement

HEALTHeLINK Terms and Conditions

HEALTHeLINK Business Associate Agreement (Covered Entity)

HEALTHeLINK User Account Form

For questions or more information, please contact us.