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IT Support Ticket Submission
*please refrain from including PHI in this ticket request. If PHI is needed for technical purposes, please note this in the ticket description, and a staff member will reach out for the requisite details.
Name

First NameLast Name
Email
first.last@kdlpathology.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Category
For Aegis Health Services onboarding, please select Software and choose Aegis Health Services from the Software drop down list that will display to the right.
Software
Subject
Please describe your issue.
Please be as detailed as possible, while ensuring not to include any PHI.
Date

YearMonthDay
Hour MinutesAM/PM Option
Time

Hour Minutes

AM/PM Option
Please verify that you are human
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IT Support Ticket Submission