User Form {{your_name}}, Thank you for connecting with us. We will respond to you shortly.1 Your InformationRequest TypeRequest InformationContactConfirmation 0% https://ihs911.com/wp-content/plugins/nex-forms-express-wp-form-builderfalsehttps://ihs911.com/user-form/redirecthttps://ihs911.com/wp-admin/admin-ajax.phphttps://ihs911.com/user-formyes *Is there an existing service order?YesNoService Order #*Parent Company Name*Facility Name*Your NameYour Title*Your Email*Your Contact Number Back Continue Pleased to meet you {{your_name}}. How can we help?*Request TypePlease SelectAdd User to ConnectaCareRemove User from ConnectaCareChange/Move UserReplace UserOther Back Next Add User*Name - Add*Email - Add*Title- Add*Mirror Existing User? -AddYesNoMirror *Add Access to the following--- Select ---ConnectaCare Desktop UserConnectaCare Email only User*Domain Account-AddYesNoOther RequestChange User*Name - Change*Email - Change*Title - Change*Change Access to the following--- Select ---ConnectaCare Desktop UserConnectaCare Email only User*Domain Account-ChangeYesNoReplace User*Name - Replace*Old User - Replace*Email - ReplaceRemove User*Name - Remove*Email- Remove*Remove Access to the following--- Select ---ConnectaCare Desktop UserConnectaCare Email only User*Domain Account-RemoveYesNoSpecial Instructions Untitled Document Examples: -Do not process until 1/1/20XX -Make sure user has access to ______shared drive. -This user should not have access to _________ folder. -Upgrade user from Email Only to Desktop. Back Next Thank you {{your_name}}. How would you like to be contacted?*Contact MethodEmailPhone Back Next Thank you {{your_name}} Please click Submit to complete your request. We will be in contact via {{contact_method}} regarding your {{request_type}} request. Back Submit
