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The University of British Columbia

Faculty of MedicineDepartment of Obstetrics & Gynaecology

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OBGYN IT Service Request

For PHSA use ONLY
For IT Requests – Create/Remove Users. Create, Modify and Grant Access to Network Drives and Folders. Cerner. Dictation. Citrix etc.

Requester
Requester Name*
Requester Email*
User Information
Please input User's legal name exactly same as their government ID.
User First Name*
User Middle Name
User Last Name*
Current User Email Address*
Previous PHSA Email Address
If the user has a PHSA Email address because of their previous PHSA experience, please enter it here.
User Phone*
Please include your extension.
User Room Number*
Please indicate your room number e.g. SHY C433
Current login
Job Title*
Appointment Institution*
- UBC
- BCCHR (formerly CFRI)
- PHSA
- Other
Other Appointment Institution
Program*
Purpose*
- Research
- Education
- Physician
- Other
Other Purpose
Research Supervisor
Request
Request Type*
- New Account/Email
- Change Access Permission
- Suspend Account (temporary)
- Disable Account
- Re-activate Account
- Account Extension
- Photo ID
- Cerner
- CST ARF
- Dictation
- Vocera
- Citrix
- Folder Access (Change/Update)
- Other
Upload Photo File for ID
Accepted file types: jpg, Max. file size: 2 MB.
Cerner Applications
If requesting Cerner please select which applications are required.
Date of Birth
User's DOB is required for CST ARF.
MM slash DD slash YYYY
Dictation
Select all that applies.
- CST Cerner
- CW Powerchart
- Other
Other Dictation
Citrix - Remote Desktop Protocol (RDP) Access
If remote access is required please select what applications are needed.
- PHSA Microsoft Office
- PHSA POD (PHSA-on-Demand)
- PHSA Cerner Powerchart
- PHSA Peoplesoft
- PHSA Citrix Desktop
- PHSA Remote Desktop (Icon only)
HW#
Hardware number
Drives/Folders
- W
- V
- O
Specify Folder Path and File Names (RO - read only or RW - read write)
Other Request Type
MSP#
CPSID#
Start Date*
MM slash DD slash YYYY
End Date
Note: Dates should correspond with appointment
MM slash DD slash YYYY
Comments

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To contact a Physician for clinical matters please visit https://www.cpsbc.ca/public/registrant-directory

Department of Obstetrics & Gynaecology

C425 - 4500 Oak Street

Vancouver, BC Canada V6H 3N1

Website obgyn.ubc.ca

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