The Request for Provider/Prescriber Set-Up in Health Information Systems Form replaces several forms that were previously used by community providers/prescribers to advise lab and eDelivery of demographic and results routing changes. Forms being replaced include the Alberta Precision Labs Healthcare Provider Information and Set Up Forms, the DynaLIFE Healthcare Provider Setup Request Form and the eDelivery Service Request Form.
Extensive work has been undertaken to improve the quality of demographic and routing information collected at Alberta Health Services (AHS) to protect continuity of care during Connect Care implementations across the province. This new form supports centralized operational processes for the maintenance of provider master data, including identity data and external venues where provider/prescribers deliver care.
If you have questions about this new process, please contact email@example.com.
Forms & Tools