Sign up/Get More Information/Join Now 855-4-THE-HIE | HIESuppor@comagine.org Get More Information First Name Last Name Email Phone Job Title Organization Company Type Physician Office or Outpatient ClinicHospital or Health SystemLong Term CarePublic HealthHealth Plan or Insurance CompanyLaboratoryImaging CenterDentist OfficeNonprofit or Professional AssociationVendorOtherNot Applicable (Individual or Patient)Urgent CareHome HealthHospiceFederally Qualified Health Center (FQHC)Mental or Behavioral Health Center City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Reason for Inquiry Question about health information exchange (HIE)My organization would like to connect to HealtHIE NevadaInformation about HealtHIE AlertsReporting an error or problem with the HealtHIE Nevada websiteOther please specify: Reason: Other Comments
