Onboarding

VIM onboarding form

Use this form to submit your EHR information to be used to configure your Vim EHR integration. This information is submitted and stored securely using Vim's credential management system.

This information is submitted and stored securely using Vim's credential management system. Following your submission the Vim team will reach out to your specified contact for any additional information required to complete the configuration of your application.

Organization info

Please provide contact information for the staff representative who will assist with granting access to the EHR.

Production environment information (includes PHI)

Please supply connection info and a user account with provider-level privileges to be used to validate configurations in the production environment.

Test environment information (PHI-Free)

If available, please supply connection info and a user account with provider-level privileges to a test environment which can be used to initial configuration and testing of the Vim integration.

Thank You!

The form was submited successfully.