EpicCare Link Access
Download, complete all sections and sign. Mail the form to:
Medical Records Dept.
Att: Allison L. Jordan, RHIT, HIM Supervisor
16901 Lakeside Hills Ct. Ste: 1139
Omaha, NE 68130
My Alegent or Second Sign Access
This form is intended for Independent Offices' Pre-Op Surgical Orders.
Please complete the form and fax to: