Information Service Request

If this is urgent please call the Help Desk at 502-629-8911
Please ensure all the requested information is filled out so your request will not be delayed.

Go back to support.nortonhealthcare.org

Please note our layout has changed, select a Service Issue category to see additional options

* For Application Access Requests (e.g., Zoom and Dropbox), please go to the Application Access Request Form linked here.

* For additional access requests (e.g., Epic, Sunquest, network drives), managers of the user requesting access should please go to the Security Access Request Form linked here.

* For Analytical dashboards and reports based on EPIC clinical, financial and other enterprise data please go to the Enterprise Analytics Page linked here.

Name Name * First Last
Your Full User ID *
Must be 8 characters. Currently Entered: 0 characters.
Example: Your Full AHSN/PHYS/VEND/STUD assigned account
Email Address *

Please use your Norton email address if you have one
Direct Phone Number Direct Phone Number * - ### - ### ####

Please provide direct dial number or backdoor number and extension
Phone Extension

Please enter an extension if you do not have a direct phone line.
Location *

Ex: Watterson 12th floor, NCI 2nd floor, etc
PC Number *

Ex: WATLACP01, CLKCMAAT01, etc.
Service Issue *

Service Issue Epic Imaging Health Information Mangement (HIM) Kronos Time Keeping OnBase Sunquest / Lab Phone / Telecom Security Department Other
Other Issue *

Other Issue Printer PC Experian/One Source People Center Tiger Text BrainLab Bswift NGood Health Atlas Software DSS / CIA Database Change Request Vocera emsCharts FaxSweep Folder Issues (Move, Delete, etc) Slack IM Request Other Other
Kronos Time Keeping Issue *

Kronos Time Keeping Issue Kronos Version 8 Kronos Version 6 Kronos Sign-off Removal
Security Department Issue *

Security Department Issue Access Control Cameras Infant Security Omnigo Taser Evidence.com
Access Control Issue *

Access Control Issue Pro Watch
Cameras Issue *

Cameras Issue Max Pro
Infant Security Issue *

Infant Security Issue Cuddles Hugs
Epic Issue *

Epic Issue Epic ADT Registration (Admissions / Discharge / Transfers) Epic Ambulatory (Physician Practice - Clinical Documentation) Epic Beacon (Oncology, NCI) Epic Cadence (Appointment Schedule) Epic Cash Drawer Epic Claims Remits Epic Occ Med Profile Epic Cupid (Cardiology) Epic Haiku Epic HIM Technical Epic Hospital Billing Epic Link Epic Radiant (Imaging) Epic OpTime Epic Willow Ambulatory (NHC Retail Pharmacy) Epic Willow (Pharmacy) Epic Professional Billing MyChart Telehealth Visit – Issues Alaris IV Pump / Epic Integration Issues Non-Employed Referring Provider/PCP - Add/Update
Please Note

Please go here to fill out the proper form
on the new Epic Link Page
Sunquest Issue *

Sunquest Issue Bloodbank Cerebro ClinFin Collection Manager CoPathPlus General Application General Lab Instruments (Includes DI &WAM) Micro Nova StatStrip Glucometer Password Issues/Reset Patient Lock Printing (Labels) Smarts Routing Transfusion Manager
Ambulatory Issue *

Ambulatory Issue Epic Printing Pool Issue Requesting a new letter or edits to an existing letter Requesting a new Referral Order or edits to an existing Referral Order Need help with InBasket message Need help with documentation tools Need access to Ambulatory Screens/Tools Other Other
Do you use your badge to release print jobs *

Do you use your badge to release print jobs Yes No
Cadence Issue *

Cadence Issue Add/Change/Update Schedule Referral Issues
Experian One Source Issue *

Experian One Source Issue New Access Modify Access Remove Access Update Information
Tiger Text Issue *

Tiger Text Issue Password/Pin Issues New Access Request Other Other
NGood Health Issue *

NGood Health Issue Access Issues Password Reset Benefit Questions/Concerns
Atlas Software Issue *

Atlas Software Issue Atlas Software Support Atlas Software Printing
Imaging Location *

Imaging Location AUD NWC Brownsboro Downtown Outlying
Imaging Issue *

Imaging Issue PACS - Radiology CPACS - Cardiology OPACS - Ophthalmology
HIM Issue *

HIM Issue Chart Correction Inactive Provider Medical Records Scanning mModal Support Onbase Patient Window Release of Information
OnBase Issue *

OnBase Issue Application Issues GL Cash Coding Request Printing Reporting Request for New Functionality Scanning Documentation missing Virtual Printer
Vocera Badge Label or Serial Number *
Have you tried another badge or device *

Have you tried another badge or device Yes No N/A
Are there other devices having the same issue *

Are there other devices having the same issue Yes No N/A
Fax Sweep Folder Name *
Epic Cash Drawer Issue *

Epic Cash Drawer Issue New Cash Drawer requests Changes or Edits to Cash Drawers
Phone Issues *

Phone Issues General Phone Issues Iconnect Call Center ShoreTel / Mitel
Iconnect Call Center *

Iconnect Call Center Access Request Voice Quality Issues Other Other
ShoreTel / Mitel *

ShoreTel / Mitel Access Request Voice Quality Issues Other Other
MUST BE SUBMITTED BEFORE PAYROLL CLOSE FOR THE WEEK
Name of the employee: *
AHSN/VEND of the employee: *
Please Note

Click here to fill out the proper form
Additional Information Needed
Facility or Practice *
Employee Role *
Manager or Director Name *
Will they run estimates *

Will they run estimates Yes No
Printer Number *
Alternative phone number to be contacted at Alternative phone number to be contacted at * - ### - ### ####
Extension of affected phone *
Conference Call Specifics
Date of Call Date of Call * / MM / DD YYYY
Time Of Call Time Of Call * : HH MM AM/PM

Eastern Standard Time
Duration of Call in Minutes *
Total Lines Needed *
Recurring *
How Many Times *
New Cash Drawer Specifics
Office Name *
Cost Center *
Manager Name *
List of other supervisors or managers that need to added as supervisor to the cash drawer *

This does not included regular front line staff
Workstation Name(s) *
Changes or Edits to current Cash Drawers
Name of person being requested to add as supervisor *
Name of person being removed as supervisor *
Workstation Name *
Current Cash Drawer Name *
Nova StatStrip Glucometer Specifics
Nova StatStrip Glucometer Options *

Nova StatStrip Glucometer Options New Nova StatStrip Glucometer Setup Replacement Nova StatStrip Glucometer
Meter serial number *
Meter MAC addresses *
Iconnect Call Center Issues
What is your extension *
What number did you call or what number called you *
What date did this issue occur What date did this issue occur * / MM / DD YYYY
What time did this issue occur What time did this issue occur * : HH MM AM/PM
What is the interaction ID *

Interaction ID is available under Call History properties
ShoreTel / Mitel Issues
What is your extension *
What number did you call or what number called you *
What date did this issue occur What date did this issue occur * / MM / DD YYYY
What time did this issue occur What time did this issue occur * : HH MM AM/PM
Description of Problem *
Upload a File

Attach Files

Optional

Information Service Request

Information Service Request

Please Note

Please go here to fill out the proper form on the new Epic Link Page

MUST BE SUBMITTED BEFORE PAYROLL CLOSE FOR THE WEEK

Please Note

Click here to fill out the proper form

Additional Information Needed

Conference Call Specifics

New Cash Drawer Specifics

Changes or Edits to current Cash Drawers

Nova StatStrip Glucometer Specifics

Iconnect Call Center Issues

ShoreTel / Mitel Issues

Please go here to fill out the proper form
on the new Epic Link Page