Account Request Forms

Please Note: eHealth forms currently work best with Microsoft Edge. When using a different browser, you may be directed to the following message: "Please wait… your PDF viewer may not be able to display this type of document." If this happens, you must download the form in order to access it. To download the form, move your mouse to click on the Download button that appears in the top-right corner of the page (see illustration). Once the form is downloaded to your computer, you will be able to open and fill it in.

A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z

A

ABIIS - Acquired Brain Injury Information System
Account Request form 

ADG - Alcohol Drug and Gambling
Account Request form

AHA - Athabasca Health Authority

Network Request form
Hardware Request form

Ambulance Patient Care Report (PCR) System
Account Request form​

AMUP - Ambulance Upload
Account Request form

ARMS - Ambulance Registry Management System
Account Request form

Approved Authorizer List Request Form

Approved Authorizer List Request Form

B

BDM Pharmacy Information System
Account Request form
Provincial BDM Inventory Item Work Sheet

C

Care Manager / Care Organizer
Account Request form 

CCHS - Client Concern Handling System
Account Request form

CDM-QIP - Chronic Disease Management Quality Improvement Project
Request for Integrated Services - CDM-QIP 
Account Request form for Paper-Based Clinics
MicroStrategy Reporting Request form - CDM-QIP​​​

COVID Quick Entry (CQE)

Account Request Form

D

Data and Share
Account Request Form

DUR - Drug Utilization Review
Account Request Form

E

eHR Viewer
Request Form
Organization Approval Form

Request for Integrated Services – eHR Viewer Launch in Context 

eHS Github Version Control System Request Form

eHS Github Version Control System Request Form

EDRN - Electronic Death Registration Notification
Account Request Form

EMC - Enterprise Management Console
Account Request form

ESP (Workforce Central)
Account Request form

EMR Interoperability

Request for Integrated Services 

F

FHIR Management Console (FMC)

Account Request Form

G

General Account Request Form
Account Request form

GoS SHNB Network Account Request Form​

Grants and Bursaries
Account Request form

Contact Tracing (GoData)

User Account Form

I

Information Services
Request for Information Form
Request for Information Frequently asked Questions

iPHIS

L

Lab SCC (Soft)
Account Request Form

LIMS - Labware Lab Information Management System
Account Request Form

LLS - Lab Licensing System
Account Request Form 

LTC - Long Term Care
Account Request Form

M

MDS Datamart
Reporting Access Request Form

Medical Imaging (RIS,PACS,PS360)

Medical lmaging Request Form

Medical Services Branch (MSB)
Account Request Form

MHIS - Mental Health Information System
Account Request Form

MHAIS - Mental Health and Addiction Information System
Account ​Request Form

N

Newborn Notification System
Account Request Form

O

Organ and Tissue Donor Registry

Account Request Form

Organization Approval

Organization Approval Form

P

PACS - Picture Archiving and Communication System
PACS Account Request Form and Joint Services/Access Policy Confirmation
Security Questions Form
PACS Joint Service Signature Page

Panorama

Account Request Form

Northern Inter-Tribal Health Authority NITHA IOM Organization Request Form

First Nations and Inuit Health Branch FNIHB IOM Organization Request Form

COVID Quick Entry (CQE) Account Request Form

PCH - Personal Care Home Registry
Account Request Form

PCV - Provider Coverage Viewer
Account Request Form

PHRS-Core Application (eHealth Employees Only)

PHRS Core Application Form

PHRS-View - Personal Health Registration System Viewer
Basic Account Request Form
Advanced Account Request Form 
Organization Approval Form
Approver request only 

PHRS Web Nominations (WebNom)
Account Authorization Form
Organization Approval Form

PHRS Online Group Account - Personal Health Registration System

PIP - Pharmaceutical Information Program
Online Registration
PIP Joint Service & Access Policy - Confirmation of Receipt and Acceptance
Delegated Approver Form  

PIP to EMR
Request for Integrated Services - PIP 
Procura - (Homecare)
Procura-AccountRequestForm.pdf

PRS - Provider Registry
Account Request form 

Providers Request to Receive or Cease Electronic Lab Results
Account Request form 

PRDS & MIQS - Provincial Renal Data System
MIQS Account Request & Security Access form 

Pyxis

Account Request form

R

RMS - Referral Management Services
Account Request form​

Reporting
Reporting Access Request Form

Request for Review of Claim Assessment
Claim Assessment Form

S

SAIL - Equipment Information System (SEIS)
Account Request form 

SAIL - Oxygen Information System (SOIS)
Account Request Form
Supplier Approval Request Form

SAIL - Supplies System (SSS)
Account Request form

SAS - Statistical Analysis System
Account Request form

Saskatchewan Virtual Visit
Account Request Form

SCI  - Shared Client Index

Viewer/Detailed Viewer Request form
Inspector Request form
Organization Approval form
SCI Viewer Quick Reference Guide
Inspector/Viewer Non-Production Request Form


 SCM - Sunrise Clinical Manager
Account Request form

Security Questions Form

Server Request Form

SHA - Saskatchewan Health Authority

Network Account Request Form

Standard Hardware Request Form

SharePoint
SharePoint Site Request form

SHCP - Supplementary Health Claims Processing
Account Request form

SHRA - Saskatchewan Healthcare Recruitment Agency 

Network Request form
Hardware Request form

SIS - Surgical Information System
Account Request form
Change Request form
Emergency Change Request form

SLRR - Saskatchewan Lab Results Repository
​Request for EMR Integrated Services

Smart Pump

Account Request form 

Software

Request for Software Form

SPR  - Service Provider Registry
Account Request form

SSCN  - Saskatchewan Surgical Care Network
Account Request formBack to Top

T

Telehealth Services

TH Services Access Request Form
TH CBF Change Request Form

Testing Utilities Software
Account Request form
Access Level List

U

USD
Unicentre Service Desk

V

VDT-AccountRequestForm-Pharmacy

Vocera Account Request - former PAPHR

Vitalware
Account Request form

W

Web Conferencing (Webex)
Account Request form​

Web PSI and Adoption Form
Account Authorization form
Organization Approval form

WinCIS (CPI Reg)
Account Request form​

Back to Top