To request access to the customers-only section of PDX-NHIN Online, you must complete all information on this form. This information will be used to validate your request and to ensure the site's security.
Only current PDX-NHIN Customers in good standing will receive access to the customer-only area of this site. Access is granted on an individual basis. You will receive an email within one business day with the status of your request for access.
If you are not a customer but need more information on a PDX-NHIN solution, contact PDX sales or call 1-800-433-5719.
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- Must be more than 8 characters in length.
- Must have at least one lower case letter.
- Must have at least one upper case letter.
- Must have at least one number.
- Must have at least one special character.
- Cannot match the last 6 passwords.