Form is successfully submitted. Thank you!TouchWorks User Request FormEnter 4 digit Org ID and Org Name (e.g. 3876 - Hawaii IM)*Type of User Request*NewInactivateUpdateEnter First and Last Name of User to be added, updated or inactivated*Enter First and Last Name of existing user to copy*Type/Title of new userBillerFront DeskMANurseOffice ManagerCare CoordinatorCheck User Rights that are neededDCLRx RightsNote OwnerUnlock NotesScan LoginRequester Name*Comment:Your comments here0 / 100Email* Submit