In order to gain access to the Virtual Gateway, an organization's Access Administrator must complete the appropriate User Request Form (URF) below.

Each URF is specific to the Virtual Gateway service an organization will use so please select the appropriate URF below. Please download a copy to your desktop, complete the form as per the instructions on the form, and email the complete form to the email address indicated on the form.

Please contact Virtual Gateway Customer Service with any questions at 1-800-421-0938.

Information for Access Administrators is also available for download.

Forms

Job Aids

 


This information is provided by the Virtual Gateway within Health and Human Services.