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ModMed Communities Sign Up
Complete this form for each staff member who should have access to create and view support tickets.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Please use the cloud email address that is associated with your Sammy cloud account if you have one.
Your answer
Main Point of Contact for Practice
*
If "Yes", this person will have access to all tickets created by the practice, not just their own.
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Yes
No
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