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Category
General Question
Computer, Printer and Network Issues
Software Issues
— AdvancedMD
— Windows
— Other System
Users and Passwords
— Forgot Password
— New User
— Remove User
— Other User Requests
New Hardware
— Request Quote
— Request Installation
EHR Requests
— Template Requests
WLA Internal
— Training
— New Client Implementation
EHR
Administrative
HIPAA
Project
Priority
Normal
High
Emergency
Name *
Email *
Subject *
Please do not include any protected health information in this form. If you have questions, please call 804-281-4400.
Do not include any protected health information in this form.
If you have trouble with this form, please call 804-281-4400.
Please fill out the following fields and click Submit to send your request.
Message *
Add attachment
Add Another Attachment
Callback Number
In case an agent needs to contact you via phone, please enter a call back number if it is different than your practice phone number.
Department *
Support
EHR
Training
ICD 10
Credentialing
MIPS