NHRMC Remote Access Feedback Form

Thank you for your time to evaluate the new NHRMC Remote Access Site. Please follow the directions below to submit a question and/or feedback.

  1. Please fill out each section of the form to ensure that your question or feedback is cataloged correctly.
  2. If you are sending in a question. Please be sure to provide accurate contact information so we can reach back out to you. The more details in your question, the better.
  3. Please expect 48 hours for responses to questions.
  4. DO NOT UNDER ANY CIRCUMSTANCES ENTER ANY PHI INTO THIS WEBFORM.
Personal Information
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Device Information
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Feedback/Comments/Questions
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