Support Case Submission
ATTENTION
:
This form is
not
configured to handle patient data. Please
do no
t
submit Protected Health Information through this form. If sharing PHI is required to escalate your request please contact
support@corp.doctor.com.
Contact
Organization Name
First and Last Name
Email Address
Phone Number
Please select this option if you want other folks in your organization to be copied on this inquiry
Add additional emails
First additional email
Second additional email
Third additional email
Fourth additional email
Fifth additional email
Description
Urgency - Please select the statement below that best represents your request.
Configuration question. No significant loss of function
Minor loss of function resulting in inconvenient usage
Severe loss of function and no available workaround
Complete loss of function and no available workaround, resulting in critical business interruption (platform outage, downtime, etc.)
Identify the source of the issue or question (Platform).
If your inquiry spans multiple platforms, please note this in the description.
DataManager
(Ex: I’m not able to update information in the DataManager)
Online Listing
(Ex: Provider information is wrong on Healthgrades)
Reputation Insights
(Ex: There’s an issue with pulling reports)
Transparency
(Ex: I’m not seeing new survey data / reviews displaying for Dr. John Doe)
Find-A-Doctor / Directory
(Ex: I’d like to update a banner on our website)
ReviewHub
(Ex: I am experiencing WiFi issues using the chromebook)
ReviewRequest
(Ex: The review links are not showing in the text messages to patients)
Companion
(Ex: The companion app won’t open on my desktop)
Other
Subject
Description
Attachments
:
Support