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Interested in Becoming a HEALTHeLINK Participant?

The enrollment forms below are used to help set up practices, providers, and staff as users of HEALTHeLINK and for data sources to initiate the process of feeding data to HEALTHeLINK.  

Registration Application

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.