Med IT Work Request Form

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Med IT Work Request Form

We will respond to your request within 24 hours on business days and complete your request within 3 business days.

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Email

Your answer

Name

Your answer

Team

Health fair

Clinic

Station manager

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Issue

Website

RedCap

Other:

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Detailed description of your problem.
If this is website related, please include links to the pages you need updated.
If you are a health fair team, include the name and date of the fair.

Your answer

Submit

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