• STAFF USER ACCESS FORM

    The “Staff User Access Form” should be used anytime a Program is adding a new staff member or changing an existing staff member’s credentials and access to the BHRS Electronic Health Record. The staff member’s supervisor should complete all the below fields and upload the required documents. Please contact BHRSCredentialingPub@marincounty.gov with any questions.

  • Staff Information

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  • Provider Information

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  • Excluded Provider Check

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  • Forms

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  • Requestor / Supervisor Information

  • Roles / Permissions

  • User Roles Descriptions

  • Please contact BHRSCredentialingPub@marincounty.gov with any questions.

  • Facility & Program Assignment

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    • Please contact BHRSCredentialingPub@marincounty.gov with any questions.

  • My electronic signature agreeing to the aforementioned is below.

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