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 "Designated 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 is one required form for each New QHN User. The QHN User Application will be sent to the Designated Organizational Contact and the New User. The form is sent via email utilizing the electronic signature service DocuSign. View Request a New QHN User Tip Sheet.

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