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Home
Solutions
ChartMaker® GO – Mobile Medical Billing
Electronic Health Records
Practice Management
Patient Reminders
Provider Complete
No Fault/Workers’ Compensation
Revenue Cycle Management
e-Faxing
Chronic Care Management
Patient Portal
Health Portal
Mobile App
Cloud Services
Managed Services
Dictation
Resources
Clinical
Practice Manager
Mobile App
Quality Payment Program
MIPS
APM
Medicaid EHR Incentive Program
Patient Portal Success
Registries
Interfaces
Media
Events
Blog
Newsletters
Forum
Client Tools
Software Downloads
Enrollments/Deactivation
Order Supplies
Cloud User Request
Support
Remote Support
General Support
About Us
Our Team
FAQ’s
Testimonials
Sales
Careers
Independent Sales Organization
Contact Us
Electronic Faxing Enrollment
Electronic Faxing Enrollment
Once you submit your enrollment, an STI Representative will get in touch with you to begin the setup process.
Please note, you MUST be on Windows 10 or higher:
*
Yes, I am on Windows 10.
Practice Name
*
Contact Name
*
First
Last
Contact Phone
*
Contact Email
When adding users, please specify which users will be designated as an Admin, Provider or Staff. There should only be a maximum of (2) users designated as an Admin.
User #1 - Full Name
*
First
Last
User 1 - Email (This will also act as your USERNAME)
*
Note: This email must be unique per user.
User 1 - Role
Please note, only 2 users should be assigned as an "Admin".
Admin
Provider
Staff
Do you want to add another user?
Yes
No
User #2 - Full Name
*
First
Last
User 2 - Email (This will also act as your USERNAME)
*
Note: This email must be unique per user.
User 2 - Role
Please note, only 2 users should be assigned as an "Admin".
Admin
Provider
Staff
Do you want to add another user?
Yes
No
User #3 - Full Name
*
First
Last
User 3 - Email (This will also act as your USERNAME)
*
Note: This email must be unique per user.
User 3 - Role
Please note, only 2 users should be assigned as an "Admin".
Admin
Provider
Staff
Do you want to add another user?
Yes
No
User #4 - Full Name
*
First
Last
User 4 - Email (This will also act as your USERNAME)
*
Note: This email must be unique per user.
User 4 - Role
Please note, only 2 users should be assigned as an "Admin".
Admin
Provider
Staff
Do you want to add another user?
Yes
No
User #5 - Full Name
*
First
Last
User 5 - Email (This will also act as your USERNAME)
*
Note: This email must be unique per user.
User 5 - Role
Please note, only 2 users should be assigned as an "Admin".
Admin
Provider
Staff
Do you want to add another user?
Yes
No
User #6 - Full Name
*
First
Last
User 6 - Email (This will also act as your USERNAME)
*
Note: This email must be unique per user.
User 6 - Role
Please note, only 2 users should be assigned as an "Admin".
Admin
Provider
Staff
Do you want to add another user?
Yes
No
User #7 - Full Name
*
First
Last
User 7 - Email (This will also act as your USERNAME)
*
Note: This email must be unique per user.
User 7 - Role
Please note, only 2 users should be assigned as an "Admin".
Admin
Provider
Staff
Do you want to add another user?
Yes
No
User #8 - Full Name
*
First
Last
User 8 - Email (This will also act as your USERNAME)
*
Note: This email must be unique per user.
User 8 - Role
Please note, only 2 users should be assigned as an "Admin".
Admin
Provider
Staff
Do you want to add another user?
Yes
No
User #9 - Full Name
*
First
Last
User 9 - Email (This will also act as your USERNAME)
*
Note: This email must be unique per user.
User 9 - Role
Please note, only 2 users should be assigned as an "Admin".
Admin
Provider
Staff
Do you want to add another user?
Yes
No
User #10 - Full Name
*
First
Last
User 10 - Email (This will also act as your USERNAME)
*
Note: This email must be unique per user.
User 10 - Role
Please note, only 2 users should be assigned as an "Admin".
Admin
Provider
Staff
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