Forms |Request QHN New User

Request a New QHN User account on-line.

Authorized Organizational Contacts may now submit a request for a new QHN User account by simply completing this on-line form.

New QHN User request

Access to the QHN system must be requested by the "Authorized Organizational Contact" for the organization. If you do not know who the Authorized Contact is at your organization, please feel free to contact QHN's Customer Support at:970-248-0033.

There are two required forms for each New QHN User. The New User Form will be sent directly to the User for whom you are requesting access. The User Profile Form will be sent to the Designated Organizational contact. Both forms are sent via email utilizing the electronic signature service DocuSign. View Request a New QHN User Tip Sheet.

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