Administrator Authorization Form

In order to update our files and to safeguard your compliance with HIPAA regulations, please complete the following form regarding security privileges within your office.  Please list the person, or persons, with administration and security privileges, who are designated to set security within the ChartMaker® Medical Suite.  This form must be filled out  by the licensee of the agreement with STI Computer Services, Inc.

  • I authorize the following person(s) below to have permission to set security within the ChartMaker® Medical Suite.