Optalis I.T. Helpdesk
Optalis Healthcare
Optalis I.T. Helpdesk
Submit a ticket
Agency Requests
Submit a Support Request
Required fields are marked with
Requestor Name:
Email:
First Name of Agency or Sister Facility Staff:
Last Name of Agency or Sister Facility Staff:
Requesting access to (Facility Name):
- - Click to Select - -
Abbyshire Place
Arlington Court
Allen Park
Ann Arbor
Belle Fountain
Canal Winchester
Canton
Cranberry Park Grand Rapids ALF
Cranberry Park Milford ALF
Cranberry Park Shorepointe ALF
Cranberry Park West Bloomfield ALF
Dearborn Heights
Evergreen
Fountain Bleu
Four Seasons
Greenfield
Grand Rapids
Grosse Pointe Woods
Kingsford
Lakeland
Middleburg Heights
Mill Run
Monterey
New Albany
Pickaway Manor
Riverview
Shelby
ShorePointe
St. Francis
Sterling Heights
The Grand
Three Rivers
Troy
West Park
Woodward
Novi
Rivetus Homecare
Position:
CNA
LPN
RN
Social Services
Agency Company or Sister Facility Name:
OHIO ONLY - Med-Pass barcode number (10-digit #):
Message:
Suggested knowledgebase articles:
Attachments:
Add file
File upload limits
SPAM Prevention
Type the number you see in the picture below.
(
)
