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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 above) for PCs and laptops, and Windows Server 2012R2 (or above) for servers.
*
Yes, I am on Windows 10/Windows 2012R2 (or higher).
Practice Name
*
Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Primary Fax Number
*
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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