CorrHealth - User Change Request CorrHealth - User Change Request Requestor Name: * Requestor Name: First First Last Last Requestor Email: * Employee Name: * Employee Name: First First Last Last Employee Email: * Change Effective Date: * New Position: * Select No Change Other Administrative Assistant AP/AR Coordinator Associate Regional Manager Assistant Director of Nursing Behavioral Health Director Case Manager Certified Medical Assistant Chief Medical Officer Claims Coordinator Dental Assistant Dentist Deputy Director of Finance Director of Human Resources Director of Marketing and Proposals Director of Nursing Director of Operations Director of Proposals Director of Risk Management Director of Compliance and Education Systems Discharge Planner Doctor Emergency Medical Technician Facility Administrator Finance Specialist Head Nurse Health Services Administrator Human Resources Ccoordinator Interim Nurse Supervisor Licensed Alcohol and Drug Counselor Marketing Coordinator and CorrHealth Ambassador Medical Administrative Assistant Medical Records Clerk Mental Health Clerk Mental Health Coordinator Mental Health Manager Mental Health Professional Nurse Nurse Practitioner Nurse Practitioner Medical Nurse Practitioner Psych NP Operations Training Specialist Payroll Coordinator Pharmacy Technician Physician Physician Assistant Psychiatrist Qualified Mental Health Professional Re-entry Specialist Recruiting Specialist Regional Manager Secretary System Administrator Travel Training Team Manager Previous Location: * Select No Change Other Albany County Comal County Corporate Eddy County Jefferson County Laramie County Larimer County Luna County McClennan County Midland County San Miguel County Sandoval County Taos County Washington County Wichita County Current Location: * Select No Change Other Albany County Comal County Corporate Eddy County Jefferson County Laramie County Larimer County Luna County McClennan County Midland County San Miguel County Sandoval County Taos County Washington County Wichita County Current Subscription: * Select No Change Exchange Online Kiosk Business Standard New Subscription: * Select No Change Exchange Online Kiosk Business Standard Groups: * Select Yes No Do you want this user added/removed from groups? Old Group: * Select No Change No Additional Group Needed Other Albnay County Medical AllCorrHealth Comal County Medical Eddy County Medical HSARNNM HSARNTX Jefferson Agency Nurses Jefferson County Medical Jefferson County Medical-Agency Jefferson Mental Health Laramie County Medical Larimer County Medical Larimer County Mental Health Leadership Team Call LeadershipTeamTile Luna County Medical McLennan County Medical Midland County Medical Nurses Providers San Miguel Medical Sandoval County Medical Taos County Medical Travel Team Washington County Medical Wichita County Medical Wichita County Mental Health Old Group: * Select No Change No Additional Group Needed Other Albnay County Medical AllCorrHealth Comal County Medical Eddy County Medical HSARNNM HSARNTX Jefferson Agency Nurses Jefferson County Medical Jefferson County Medical-Agency Jefferson Mental Health Laramie County Medical Larimer County Medical Larimer County Mental Health Leadership Team Call LeadershipTeamTile Luna County Medical McLennan County Medical Midland County Medical Nurses Providers San Miguel Medical Sandoval County Medical Taos County Medical Travel Team Washington County Medical Wichita County Medical Wichita County Mental Health Old Group: * Select No Change No Additional Group Needed Other Albnay County Medical AllCorrHealth Comal County Medical Eddy County Medical HSARNNM HSARNTX Jefferson Agency Nurses Jefferson County Medical Jefferson County Medical-Agency Jefferson Mental Health Laramie County Medical Larimer County Medical Larimer County Mental Health Leadership Team Call LeadershipTeamTile Luna County Medical McLennan County Medical Midland County Medical Nurses Providers San Miguel Medical Sandoval County Medical Taos County Medical Travel Team Washington County Medical Wichita County Medical Wichita County Mental Health New Group: * Select No Change No Additional Group Needed Other Albnay County Medical AllCorrHealth Comal County Medical Eddy County Medical HSARNNM HSARNTX Jefferson Agency Nurses Jefferson County Medical Jefferson County Medical-Agency Jefferson Mental Health Laramie County Medical Larimer County Medical Larimer County Mental Health Leadership Team Call LeadershipTeamTile Luna County Medical McLennan County Medical Midland County Medical Nurses Providers San Miguel Medical Sandoval County Medical Taos County Medical Travel Team Washington County Medical Wichita County Medical Wichita County Mental Health New Group: * Select No Change No Additional Group Needed Other Albnay County Medical AllCorrHealth Comal County Medical Eddy County Medical HSARNNM HSARNTX Jefferson Agency Nurses Jefferson County Medical Jefferson County Medical-Agency Jefferson Mental Health Laramie County Medical Larimer County Medical Larimer County Mental Health Leadership Team Call LeadershipTeamTile Luna County Medical McLennan County Medical Midland County Medical Nurses Providers San Miguel Medical Sandoval County Medical Taos County Medical Travel Team Washington County Medical Wichita County Medical Wichita County Mental Health New Group: * Select No Change No Additional Group Needed Other Albnay County Medical AllCorrHealth Comal County Medical Eddy County Medical HSARNNM HSARNTX Jefferson Agency Nurses Jefferson County Medical Jefferson County Medical-Agency Jefferson Mental Health Laramie County Medical Larimer County Medical Larimer County Mental Health Leadership Team Call LeadershipTeamTile Luna County Medical McLennan County Medical Midland County Medical Nurses Providers San Miguel Medical Sandoval County Medical Taos County Medical Travel Team Washington County Medical Wichita County Medical Wichita County Mental Health Additional Notes/Requests: If you are human, leave this field blank. 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