Epic Link Request Access Form

To obtain John Muir Health Link access, providers and staff should work with their practice manager or other practice representative to complete this form, including a signed Confidentiality Agreement by each end user. Download and print the John Muir Health Link Confidentiality Agreement and attach it to the online form below to submit your request.

PLEASE NOTE: This form is intended for MSO products and customers only. If you are experiencing a medical emergency, please call 911.

Practice Information

Authorization Information

User Information

*Please attach the user's signed John Muir Health Link Confidentiality Agreement.