As an Independent Practice, access to Epic is typically all that is needed. If additional access is needed, such as badge access, a non-employee packet for patient information only will need to be complete and the CHI Sponsor will need to complete the Non-Employee intake form. Please note: For Legacy Alegent Locations only, CHI Sponsor should utilizing job code: Lease/Parking Access Only on Intake Form and not Independent Practice.
Download, complete all sections and sign. Mail the form to:
CHI Health Lakeside
Medical Records Dept.
Att: Allison L. Jordan, RHIT, HIM Supervisor
16901 Lakeside Hills Ct. Ste: 1139
Omaha, NE 68130