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EXHIBIT A STANDARD BUSINESS ASSOCIATE AGREEMENT In connection with the Underlying Contact (as defined below), which requires Western New York Clinical Information Exchange, Inc. d/b/a Healthline (HEL
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01
Open the website or application where the user account form is located.
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Locate and click on the 'Sign up' or 'Create account' button.
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Choose a username and password for your account.
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What is user account form?
User account form is a document used to collect and store information about an individual or entity accessing a system or platform.
Who is required to file user account form?
Any individual or entity who needs access to a system or platform may be required to file a user account form.
How to fill out user account form?
To fill out a user account form, one must provide accurate and up-to-date information as requested on the form.
What is the purpose of user account form?
The purpose of a user account form is to verify the identity of users, control access to a system or platform, and maintain security.
What information must be reported on user account form?
The information reported on a user account form may include name, contact information, role or position, and any other relevant details.
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