eReferrals Support Form

Outside of regular business hours (Mon - Fri 9:00am-5:00pm EST), if the issue is urgent/ high severity (i.e. one or more users are experiencing an outage or a significant impact to portions of the platform) please call tech support at 1 855-846-5805. For all other situations, please complete the form below and the issue will be addressed in the next business day.

Your Name

Clinic Postal Code

Your email address

Second email to CC

Ocean Site Number
Read about how to find your Ocean site number. If you don't know or don't have an Ocean site number please enter '0'.

EMR

EMR name if Other

Integrations

Integrations name if Other

Subject

Description
For technical issues, please detail the steps that are resulting in the issue. To get the best possible support, please refer to this guide on sending support ticket.

Provide attachment or screenshot

Please ensure that files don’t contain any Patient Health Information (PHI) (eg: patient names, contact information, health card numbers, test results) before uploading. If a screenshot must contain PHI please use a photo editing application to make PHI unreadable before uploading.