Request To Activate Community Chart

Please fill out required information and click “Send” to request Community Chart activation.


5/16/2024 - 8:15 a.m. EST - MEDENT has confirmed that the Catholic Health Systems lab connection was not impacted by the recent cyber attack on Ascension. The connection has been restored.

5/7/2024 - 1:45 p.m. EST - MEDENT continues to work with Change Healthcare and Optum to restore both RPA and Direct (aka Vision) services. Here is the latest update from Optum: UnitedHealth Group continues to make progress in mitigating the impact to consumers and care providers of the unprecendented cyberattack on the U.S. health system and the Change Healthcare services. Updates on restoration activities and additional resources are available at www.unitedhealthgroup.com/changehealthcarecyberresponse. Please check the MEDENT Manual for additional information. We will continue to provide updates via MEDENT's support page, the MEDENT Manual and our eNewsletter.

MEDENT Account #*

Practice Name*

Your Name*

Title:

Preferred contact method*

Preferred phone # for call back*

- -

Practice phone #

- -


E-Mail Address*


Area of System *

Section of Area *
Subject*

Description of Support Inquiry*


Provider: *

Providers Affected:

Patients Affected: *

How many Patients?

Patient Examples (up to 5): (optional)