PLEASE DO NOT INCLUDE ANY PATIENT INFORMATION Report/Request Report issues, ask questions, voice new ideas. Name Email Phone Number Is this an access issue, equipment issue, request, or something else? Access Equipment Request Something else Unit/Computer ID Message * Do you want to be contacted? Yes, please call me Yes, please email me No, just fix it Thank you for contacting us! If your issue is causing a significant delay in patient care, please call the Help Desk for immediate assistance.