EIS Access/Removal Request and Staff Update Form
If you are a provider of mental health services for adults affiliated with the Office of Behavioral Health (OBH), you should complete this form for:
- How to Request to Add a New User to EIS (PDF) 04/29/2020
- Complete the form below to request:
- Password reset
- Changes in staff names, agency of employment, office location, phone number, or email.