OSCAR Pro New Clinician Request

OSCAR Pro New Clinician Request

Please complete the following form to set up a new clinician on your EMR. Once complete, our team will reach out shortly with the next steps.
Support Agent Validation Steps:

1. Find the clinic name in ZenDesk to ensure that we have a record of the client.

2. Ensure that the submitter email provided in this form matches an active user associated with the account in ZenDesk.

3. Select the agent that will be responsible for adding the new user in the dropdown below.

4. Add in the clinic's Excelleris ID in the field below.

5. If Locum - Note the Expiry Date (Start Date + 3 Months, or Covering End Date + 1 Day). This will be set later on.

5. Once all fields have been completed, select Ready for Automation in the field below and resubmit the form.
Support Agent
Client Excelleris ID
Expiry Date

YearMonthDay
Date
Form Submission Status
Clinic Region*
Clinic Name*
Clinic Phone*
Clinic Address*

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry
Requester Name*

First NameLast Name
Requester Email*
example@example.com
New Clinician Name*
Monthly Working Hours*

>64 Hours32-64 Hours<32 Hours
Start Date*

YearMonthDay
Date
Locum?

YesNo
Covering For*
Name of Clinician that Locum is covering for
Covering Until*

YearMonthDay
MSP Number*
Payee Number*
Facility Number
OHIP Number*
Group Billing Number
Speciality Billing Number
Add to MCEDT?*

YesNo
Which Numbers to Add to MCEDT

Solo Billing NumberGroup Billing Number
HRM Registration Required?*

YesNo
New Physician Phone Number*
Please enter a valid phone number.
New Physician Email*
example@example.com
College ID*
CPSO, CNO, etc.
Excelleris Integration Required? (Setup can take 6-8 weeks)*

YesNo
IMPORTANT: Any additional lab integrations requested by the clinician must be submitted by the clinic. Instructions for submitting a request will be provided after this form is submitted.
Are you currently a Nexus AI Subscriber?

YesNo
Current Products:

Nexus AI Scribe - Draft your clinical documentation in real-time – accurate, compliant, and ready before your next appointment.

Nexus AI Task Manager - Automatically identify, action, and complete ticklers in your EMR with no staff follow-up required.

Nexus AI Inbox Triage - Automatically read, categorize, and route every incoming document— no manual triaging or guessing required.
Would you Like to Learn More About Nexus AI Products?

YesNo
Which Products do you Currently Subscribe to?

Nexus AI ScribeNexus AI Task ManagerNexus AI Inbox Triage
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