Radiology Access for Intranet and Radiologycomm Emails
*
1.
First Name
(Required.)
*
2.
Last Name
(Required.)
*
3.
I need access to
(Required.)
University Radiology Intranet
Radiologycomm Emails (Department-wide)
Both
*
4.
Role
(Required.)
Faculty
Resident
Fellow
Clinical Staff
Non Clinical Staff
*
5.
Healthcare Login Netid (type N/A if you do not have EHC login)
(Required.)
6.
University Login ID (if you have been issued a university ID please provide)
*
7.
Emory e-mail address
(Required.)