Technical Support Request - Sharecare Health Data Services

Email
This field is for validation purposes and should be left unchanged.
Your E-mail Address*
Enter Email Confirm Email
Subject*
Subject Details Console User*
Subject details Console Administrator*
Subject details Edelivery*
Please enter request ID/invoice # or location ID*
Please enter URL of Site you are attempting to access*
Once you have signed up for an eDelivery account you will receive an email directing you to sign in, set a password for your admin account and then create a eDelivery user account for yourself and anyone else in your organization that requires access to medical records. Please note that the RMS Admin Portal is a separate database than the actual eDelivery portal and each requires individual login credentials. Once you have created your user account you will be able to log into the eDelivery Portal and download records once you receive an email notification that these are available.
If you are unable to login, please use the "Forgot Password" link available on that page to begin the password reset process. You will receive an email with information to reset your password; please be sure to check your Junk / Spam folders for the mail if needed. If you have not logged in for more than 90 days, please submit a ticket and we will re-enable your account. Still having issues accessing your account? Please submit your request and we'll be happy to have a look!
Description*
Please describe in detail the issue/request/feature or problem.
Username*
This is the username used to log in to the Customer Console or E-Delivery account even if your most recent attempt was unsuccessful. If you are unsure, please type "unknown" below.
Customer Number (if known)
If you know your customer number, please enter it here.
Example files
If you have screenshots or supporting files, please upload them here. Anything that helps to demonstrate the reason behind the ticket or any screen shots depicting any errors. Please note: This is a general inquiry form and is not meant for secure communications. Please do NOT include any personal identifying information such as Social Security numbers, Dates of Birth, or similar information that could compromise personal privacy.
Accepted file types: jpg, png, pdf, doc, docx, xls, xlsx, Max. file size: 30 MB.
Please enter invoice/request number*

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