Request New User Kaiser New User Form Requester InformationPlease complete the following section with your information.Name First Last Location*Department*Email* Phone*New User InformationPlease complete the following section with the information of the new user you are requesting.Name* First Last Location*KPBSunnysideWestsideDepartment*Case ManagementCC SpecialistCertified Medical AssistantFinancial CounselorManagerSocial WorkAmbulatory Surgical CenterEmail* Phone*Will this user be a Super User?*A Super User is a designated Clara user who is available for mentoring, troubleshooting, training, testing new features and making Special Requests for their department, including ordering passes, as well as requesting new users and new vendors. YesNo
