Contact Us (Providers & Vendors) We are excited for this opportunity, and we request that you complete a basic information form by clicking here. If you would like a representative to contact you, please complete and submit the form below. First Name: * Required Last Name: * Required Email: * Required * Required Invalid Email Address Phone: -- * Required Invalid phone number Best time to contact? * Required Organization - Company or Practice Name: * Required State: CA AL AK AZ AR CA CO CT DE FL GA GU HI ID IL IN IT IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA DC WV WI WY * Required Reason for Inquiry: Question or learn about health information exchange (HIE) My organization would like to connect to the SJH HIE Reporting an error or problem with the SJH HIE site Other - Please specify in the Comments field * Required Comments: 1000 characters remaining I'm interested in: Dropbox/EEHR Integration – Receive Discrete data, Lab, Radiology, Images and face sheets in real time electronically. HIE/Community Health Record – Web-based access to acute and ambulatory patient info aggregated from SJH. Sharing Reference Lab – Collaborate to share Quest, LabCorp, West Pacific and other reference lab results. Exchange of CCDA – Collaborate to share clinical summaries (CCD-A). Messaging System – Alerting the medical community on case specific data between physician-patient care relations. System Enhancement – Projects that involve modifications to an existing HIE connection Direct Messaging – Request for information for the ability to perform TOC/Referral Other (Explain) Please Explain: 1000 characters remaining An HIE representative will respond to your question or comment as soon as possible (within 3 business days). If you need immediate assistance, please call us at (714) 937-7000. To contact us toll-free, please call (844) 256-4HIE (4443).