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Instructions and help about Azahp Form

is a new provider or staff member joining or leaving your medical practice or Department to add a community health record user or electronic referrals Network user please complete a simple provider change form or user change form both forms are fillable PDFs and can be downloaded filled out an email to the Hawaii hie without printing a single page both forms can be found on our website at Hawaii hie org click the user and provider change forms link right on the home page please note that before you fill out the form you must first download it to your desktop in order to utilize the electronic signature feature and save a soft copy on your computer for your records another way to save the PDF is to click the printer icon and change the destination from your printer to save as PDF if you don't have a PDF reader or writer and you need help downloading one please contact the Hawaii hie remember that only the designated signing authority of your practice may electronically sign the forms fo


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