EMRLink Online Access requests are assigned as a Routine Priority.

If your organization regularly needs to view Geisinger/Geisinger affiliates patient information, or if your organization has contracted with specifically to view Geisinger/Geisinger affiliates patient information, please complete the fields below to begin your enrollment.

Once verified you will receive your account activation information and registration instructions at the email address you provide below within 10 business days.
Follow the registration instructions to activate your account, e-sign the agreement, then complete the registration process for all appropriate staff and providers.
After you complete registration for the additional users in your organization, they will be sent their account activation to view patient records in 5 business days.

Please choose one of the following two options:

My Organization/co-worker has EMRLink and I/my co-worker need(s) an account

My Organization does not have EMRLink and wishes to enroll

If you have questions please submit Feedback

To add new users, please work with the administrator.
Have questions or need help? Click Feedback or contact the service desk at 570-271-8092.

Step 1: Please select the correct description for your organization

*Type of Organization:

*EMRLink allows users to easily place Referral and Imaging orders, and by request, Lab orders. Would you like to be contacted to place Lab orders through EMRLink?:

*Instructions: Please list all Providers or PCPs for which your site may be submitting orders or referrals (even those who will not be logging into EMRLink)

	First Name	Last Name	Credentials	License	NPI
x							+

Note: If you have a *Certificate of Compliance from the Department of Human Services, your organization does not qualify for access. Please refer to the Type of Organization drop-down list for your organization type
Please attach a .pdf copy of your organization’s Certificate of Licensure from the Pennsylvania Department of Health here.

*Type of Post-Discharge Care:

*Pennsylvania Dept. of Health License Issued To (Facility Name):

*EMRLink allows users to easily place Referral and Imaging orders, and by request, Lab orders. Would you like to be contacted to place Lab orders through EMRLink?:

*Instructions: Please list all Providers or PCPs for which your site may be submitting orders or referrals (Note: These Providers will not be logging into EMRLink)

	First Name	Last Name	Credentials	License	NPI
x							+

Geisinger Contact Person

*Name:

*Email Address:

Access to patient records is restricted to organizations qualified to view patient records as defined by HIPAA regulations.

Geisinger Contact Person

*Name:

*Email Address:

Geisinger Contact Person

*Name:

*Email Address:

Access to patient records is restricted to organizations qualified to view patient records as defined by HIPAA regulations.

Step 2: Please complete the fields below to initiate your organization's account (one request per organization):

*Organization/Practice Name:

*Primary Address:

*City/State/Zip:

Your Contact Information

*Your Name:

*Job Title/Role:

Credential (if listed):

*Phone #:

*Fax #:

*Your Email Address:

For registration usage only

*Date of Birth:

*Last 4 SSN:

*Clinical Type:

Clinical: Directly participates in treatment (including patient placement), or, in some instances, a vendor who has a Business Associate Agreement executed with Geisinger to review charts as part of their agreement.

Non-Clinical: Is not directly involved in treatment (including patient placement), but would include payment and healthcare operations functions. Access to Hyper protected Health Information (HPHI)/Specially Protected as defined by the state of Pennsylvania will be determined by patient's authorization status.

*Are you currently using EMRLink at another location, or have you previously had EMRLink Access?

Previous/current EMRLink ID (if any):

New Organization Request