Sign-up Requirements:

• SecurID Soft Token, Hard Token, or tokenless access for authentication to the hospital network.
• Approved access to hospital clinical applications
• Administrative access rights to your computer (required only for the initial hookup.)

General Internet communication is inherently not secure. For this reason, we highly recommend that data considered confidential or private in nature not be submitted on this form. (e.g., Social Security Numbers, Diagnosis Information, Credit Card Numbers, etc.).)