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EpicCare Link Registration

(Provider / APP and User Access Request)

If you have been granted an EpicCare Link log-in for Yale New Haven Health in the past and are a physician, advanced practice provider or the designated site lead for a practice location:

  1. Sign the EpicCare Link User Request Form & Conditions of Use.
    Accepted signature types are:
    • A wet/physical signature
    • A Mouse or Touchpad Signature
    • An Images of a wet signature copied into the document
    (If you cannot scan and attach, please fax the signed agreement to 203-502-4987.)
  2. Complete the below form and attach the signed document before submitting.

We will confirm your renewal within 14-30 business days.

Questions? Email [email protected].

* Indicates Required

EpicCare Link Administrator / Sponsor

(The person signing up for access and vetting at the site. Can be a provider, office manager, administrator, director, etc.)