PCP Notification EMail Verification - Secondary Provider
Secondary Provider:
E-mail
EMail Verification ID:
Enter the NPI Number for the Primary Care Physician:
*
Listing an email address (physician’s email, secondary email and/or third party email) will cause notifications to be sent for all patients associated with the physician to that email address. Only list email addresses for recipients who are authorized to receive notifications for ALL patients associated with the physician.
Secondary email address must be for a secondary provider who has the right to see data for ALL patients associated with the physician. Additionally, the email address must not be a group email address or a personal email address. The physician represents that the listed secondary provider requires access to the emails to perform his or her job.
divisionPSCDL
divisionName
divisionPSPhone
Enter the message as it's shown
*
Submit
Should be Empty: