EMR Interface
Request

Home > Providers > EMR Overview > EMR Interface Request Form

URL

This field is for validation purposes and should be left unchanged.

To request an EMR interface, please complete the form below and allow 24-48 hours for processing.

* Required

Request Type:(Required)

New Interface Request

Current User (update info)

Type of Interface Requested(Required)

Orders and Results

Results Only

Practice Name(Required)

Position:(Required)

Name(Required)

First Last

Address(Required)

Street Address City ZIP / Postal Code

Email(Required)

Phone(Required)

EMR Name(Required)

EMR Contact Name(Required)

EMR Contact Phone(Required)

EMR Contact Email(Required)

Weather
Announcement

Due to weather conditions, ALL ARA imaging centers will delay opening until 12:00 noon on Monday, January 26. If you have an exam scheduled during our closed hours, the ARA scheduling team will be in touch to reschedule. Stay safe and warm!

Technical Assistance

Weather Announcement:

EMR Interface
Request

To request an EMR interface, please complete the form below and allow 24-48 hours for processing.

Weather
Announcement

Request a call from ARA

EMR InterfaceRequest

To request an EMR interface, please complete the form below and allow 24-48 hours for processing.

WeatherAnnouncement

Request a call from ARA

EMR Interface
Request

Weather
Announcement