GRITS Contact Update Question Title * 1. Contact Information First and Last Name Title Credentials Email Address Question Title * 2. Organization/Facility Information Organization Name Facility Name(may be same as organization) Phone Number Question Title * 3. What is your relationship with GRITS? Direct Login: Add/Edit User Direct Login: Read/View Only Data Exchange (EMR/EHR reports via HL7) School User Child Care User GDPH User EMR/EHR Technical Contact Only Other (please specify) Question Title * 4. Is this facility enrolled in a public vaccine program such as VFC? Yes No Not Applicable (third party vendor contacts) Next
