Use this form if a provider is requesting time off.

Use this form if a provider needs a temporary change to their template.

Use this form to make changes to the resident templates including: cancellations, changes or additions of resident clinics

Use this form for any permanent change in a provider’s template.

If you are submitting more than 5 of these requests on the same day, please email us at mghambulatorycapacitymanagement@partners.org.

Use this form if you have a template issue that requires immediate attention.

Example: If there is an urgent issue with provider templates, patient scheduling, decision tree issues or anything else that is not working as intended that requires immediate attention, please use this form.

Use this form if you are

  • Requesting changes to your follow up order including the work queue, decision tree and the order itself
  • Experiencing issues with your follow up order including the work queue, decision tree and the order itself

Or have general questions regarding your follow up order

Use this form if you are

  • Requesting changes to your work queue or referral order
  • Experiencing issues with your work queue or referral order

Or have general questions regarding your work queue or referral order

Use this form for any routine maintenance or urgent issues involving your decision tree.