rediCASE & PMHCIS New User request form

Here are some tips for filling out the form to provide access for a new user or change a profile to rediCASE and PMHCIS.

All requests need to be approved by a delegated role within your organisation that authorises appropriate level of access to rediCASE and/or PMHCIS

Provide Accurate Information: Before submitting, double-check that all required fields are filled in. Make sure all details are correct and up to date to help avoid any delays.

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Part A - Authorisation and delegation requests

Please ensure that your request has been approved by an authorised delegate role within your organisation before submitting the request'

Name of user requesting access

* required

Maximum 255 characters

0/255

Users contact email

* required

Address of your organisation

* required

Maximum 255 characters

0/255

Name of authorised delegate

* required

Maximum 255 characters

0/255

This can be your team leader, supervisor, manager or Executive but the authorised delegate must be aware of the system access request you require

Position of authorised delegate

* required

Maximum 255 characters

0/255

This can be your team leader, supervisor, manager or Executive but the authorised delegate must be aware of the system access request you require

Email of authorised delegate

* required

Maximum 255 characters

0/255

This can be your team leader, supervisor, manager or Executive but the authorised delegate must be aware of the system access request you require.