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About
Annual & Financial Reports
Volunteer Providers
Board of Directors
News
Careers
Services
Medical Clinic
Patient Portal
How To Enroll
Dental Clinic
How To Enroll
Behavioral Health Clinic
Volunteer
Donate
Contact
Pairings that Please
HealthNet Work Order Form
Name
Email
Department/Area
Medical Clinic
Pharmacy
Laboratory
Dental Lab
Dental Clinic
Pharmacy
Front Desk - Med/Dental
Front Desk - Behavioral Health
Administration
What type of problem are you experiencing?
IT
Broken Clinical Equipment
Broken Furniture/Building Issue
What is the problem you are experiencing?
Is this request urgent?
Yes (Must be fixed by end of business day)
No (Can be fixed tomorrow or within 10 business days)
Additional Comments
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If this needs immediate attention, please reach out to Todd Jacot via Teams.
We appreciate your patience as we work to fix this issue.
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