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
EMR Licensing Fee Acknowledgement

The addition of new practitioners requiring EMR access will result in additional recurring EMR license fees in accordance with WELLSTAR’s applicable licensing structure. An Account Operations Manager will be in touch with the necessary updates to your account and applicable EMR licensing.
Select the radio button to acknowledge the following statement:
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 Provider Name
New Provider Type
Provider Type
Monthly Working Hours
Start Date

YearMonthDay
Date
Locum?
Covering For
Name of Clinician that Locum is covering for
Covering Until

YearMonthDay
Migration Required?
MSP Number
Payee Number
Facility Number
OHIP Number
Group Billing Number
Speciality Billing Number
Add to MCEDT?
Which Numbers to Add to MCEDT
HRM Registration Required?
New Physician Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
New Physician Email
example@example.com
College ID
CPSO, CNO, etc.
Excelleris Integration Required? (Setup can take 6-8 weeks)
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.
Is this Provider Replacing an Existing Provider?
Which Provider?
Are you currently a Nexus AI Subscriber?
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?
Which Products do you Currently Subscribe to?
Form Submission Status
Should be Empty:

OSCAR Pro New Clinician Request

EMR Licensing Fee Acknowledgement