Emergency Access Dashboard

Request temporary access to patient medical records in emergency situations

Request Emergency Access

Complete this form to request temporary access to a patient's medical data. All requests are logged and audited.

Patient's numeric user ID from the system
Be specific. This will be included in the audit log and patient notification.

Warning: By requesting emergency access, you certify that this is a legitimate medical emergency. The patient and administrators will be notified immediately. Misuse will be reported to appropriate authorities.

Your Access History

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