Thank you for your interest in PCHInet, a PCHI web resource that saves time and adds value by
providing medical and practice management tools as well as information about PCHI and Partners.
By filling out the form below, you will gain access to PCHInet and its resources only.

I am a new PCHInet User and would like to request PCHInet for the first time.
I have already enrolled in PCHInet and tried to use or am using VPN. I would like to switch to the improved
remote access solution.
Step 1: Answer all of the questions in the form below and press Submit.
Step 2: Complete the PCHInet Enrollment form including all required signatures and fax it to PCHI. Thank you.
Answer all of the questions in the form below and press Submit.
 Last Name:  
 First Name:  
 Date of Birth:
 (mm/dd/yyyy)
 
 User Type: Other User Type:   
 RSO/Practice Name: Other Practice:  
 Primary Group Affiliation: Other Affiliation: 
 Email Address:  
 Address1:  
 Address2:  
 City:  
 State:  Zip:   
 Phone:
 Comments:  

PCHInet users may open a Partners email account. This account allows a PCHInet user to communicate
with colleagues within the Partners network in a secure and HIPAA compliant manner.
Yes, I would like a Partners email account.
 
PCHInet offers access to the Partners Clinical Data Repository (CDR) which houses patient information from
MGH, BWH, DFCI, NSMC, NWH and Faulkner. Access to this resource is restricted to clinicians and their authorized support staff.

Yes, I would like access to patient information.
No, I do not need access to patient information at this time.