PowerChart Request Form

This access is not available to nursing or admin staff.

*
*
*
*
*
*
*
*
* Provide an alternative POC (ex. Office Mgr, Head Nurse, etc.) to receive CHKD documentation and processing information as well
*
*
*
*
 
*
You must change your password every 6 months. You will need to log in periodically at least every 6 months to prevent termination of access.
Please enter the letters in the image to the left: