BEACON EMR HIPAA Disclaimer Site Map Social Media
BayCare Health System
Community Benefit Financial Assistance Policy Quality Report Card Health Library News Doctor Connect Find Us
Services Hospitals Find A Doctor Classes & Events About Us Careers Contact Us Get E-Newsletter
 Back  Back

May We Help You?

Call 1-877-692-2922
Monday-Friday, 8am to 5pm

Persons with hearing and speech disabilities can reach the above number through TDD and other specialized equipment by calling the Florida Relay Service at 711.

Contact Us
Search jobs

Decrease (-) Restore Default Increase (+) Font Size
Print    Email

SME Contact Information

The goal with this survey is to collect the most accurate SME information to develop comprehensive SME contact information sheet with photos.

By filling out this information, you will be providing your most current information for the BEACON team. In addition, we will create a modified version of this that will be posted on the Intranet. It won't include detailed contact information.

* Indicates required information

Please provide the following information to help us best serve you.

First Name *
Last Name *
Email *
Department *
Phone *

1. *
What hospital do you primarily work for?

If Other, please specify:

2. *
Please list the solution team you work on?

If Other, please specify:

3. *
Please list in order of priority the best way to reach you (i.e, e-mail, phone, pager).
4. *
Would you like your photo included on the SME contact information sheet?

Authentication *
If the challenge words are too difficult to read, click here to refresh.

Serving The Tampa Bay Area © Copyright 2014 BayCare Health System