Approver Form

The form is to become an approver and provide your study staff with access to EpicCare Link so they may enter requests for their study monitors. You will need to renew your approver form each year for compliance purposes.

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* 1. Enter date

Date

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* 2. What is your full name?

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* 3. What was your Emory hire date?

Date

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* 4. Enter your Emory email address.

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* 5. Contact number.

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* 6. Emory Healthcare ID (i.e., N#).

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* 7. What is your Department Name and Divison?

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* 8. Approximately how many staff would you be approving for EpicCare Link?

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* 9. Have you completed Epic Training and have access to Epic Hyperspace?

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* 10. If Q9 is No, you will need to complete Epic Training first. Do you need assistance?

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