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New EpicCare Link Registration

If you are the designated site lead for a practice location:

  1. Sign the EpicCare Link User Request Form & Conditions of Use. At this time, we require a physical / wet signature.
    (If you cannot scan and attach, please fax the signed agreement to 203-502-4987. Without a physical signature on page 9 of the agreement we cannot grant you access.)
  2. Complete the below form and attach the signed document before submitting.

Access to EpicCare Link is typically approved within 14-30 business days. You will receive email confirmation with your login credentials.

Questions? Email [email protected].

* Indicates Required

EpicCare Link Administrator / Sponsor

(The person signing up for access and vetting at the site. Can be a provider, office manager, administrator, director, etc.)

EpicCare Link Users

User #1

User #2

User #3

User #4