CorrHealth - New User Setup CorrHealth - New User Setup Requestor Name: * Requestor Name: First First Last Last Requestor Email: * New Employee Name: * New Employee Name: First First Last Last New Employee Email: * Start Date: Urgency Of Email Creation: * Select Immediately10 Hours Or Less24 HoursNo Urgency Office 365 Subscription: * Select OtherNo Extra LicenseExchange Online KioskBusiness Standard Office 365 Subscription: * Select OtherNo Extra LicenseExchange Online KioskBusiness Standard Position: * Select OtherAdministrative AssistantAP/AR CoordinatorAssociate Regional ManagerAssistant Director of NursingBehavioral Health DirectorCase ManagerCertified Medical AssistantChief Medical OfficerClaims CoordinatorDental AssistantDentistDeputyDirector of FinanceDirector of Human ResourcesDirector of Marketing and ProposalsDirector of NursingDirector of OperationsDirector of ProposalsDirector of Risk ManagementDirector of Compliance and Education SystemsDischarge PlannerDoctorEmergency Medical TechnicianFacility AdministratorFinance SpecialistHead NurseHealth Services AdministratorHuman Resources CcoordinatorInterim Nurse SupervisorLicensed Alcohol and Drug CounselorMarketing Coordinator and CorrHealth AmbassadorMedical Administrative AssistantMedical Records ClerkMental Health ClerkMental Health CoordinatorMental Health ManagerMental Health ProfessionalNurseNurse PractitionerNurse Practitioner MedicalNurse Practitioner Psych NPOperations Training SpecialistPayroll CoordinatorPharmacy TechnicianPhysicianPhysician AssistantPsychiatristQualified Mental Health ProfessionalRe-entry SpecialistRecruiting SpecialistRegional ManagerSecretarySystem AdministratorTravel Training Team ManagerTraining TeamTraining Team Manager Site: * Select OtherAlbany CountyComal CountyCorporateEddy CountyJefferson CountyLaramie CountyLarimer CountyLuna CountyMcClennan CountyMidland CountySan Miguel CountySandoval CountyTaos CountyWashington CountyWichita County Groups: * Select YesNo Would you like this user to be added to a group? Group: * Select No Additional Group NeededOtherAlbnay County MedicalAllCorrHealthComal County MedicalEddy County MedicalHSARNNMHSARNTXJefferson Agency NursesJefferson County MedicalJefferson County Medical-AgencyJefferson Mental HealthLaramie County MedicalLarimer County MedicalLarimer County Mental HealthLeadership Team CallLeadershipTeamTileLuna County MedicalMcLennan County MedicalMidland County MedicalNursesProvidersSan Miguel MedicalSandoval County MedicalTaos County MedicalTravel TeamTraining TeamWashington County MedicalWichita County MedicalWichita County Mental Health Group: * Select No Additional Group NeededOtherAlbnay County MedicalAllCorrHealthComal County MedicalEddy County MedicalHSARNNMHSARNTXJefferson Agency NursesJefferson County MedicalJefferson County Medical-AgencyJefferson Mental HealthLaramie County MedicalLarimer County MedicalLarimer County Mental HealthLeadership Team CallLeadershipTeamTileLuna County MedicalMcLennan County MedicalMidland County MedicalNursesProvidersSan Miguel MedicalSandoval County MedicalTaos County MedicalTravel TeamTraining TeamWashington County MedicalWichita County MedicalWichita County Mental Health Group: * Select No Additional Group NeededOtherAlbnay County MedicalAllCorrHealthComal County MedicalEddy County MedicalHSARNNMHSARNTXJefferson Agency NursesJefferson County MedicalJefferson County Medical-AgencyJefferson Mental HealthLaramie County MedicalLarimer County MedicalLarimer County Mental HealthLeadership Team CallLeadershipTeamTileLuna County MedicalMcLennan County MedicalMidland County MedicalNursesProvidersSan Miguel MedicalSandoval County MedicalTaos County MedicalTravel TeamTraining TeamWashington County MedicalWichita County MedicalWichita County Mental Health Additional Notes/Requests: If you are human, leave this field blank. Submit