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NEBH Network Password Request Form - CareGroup Portal

NEBH Network Password Request Form - CareGroup Portal

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125 Parker Hill Ave<br />

Boston, MA 02120<br />

Tel 617-7545372<br />

Fax 617-754670<br />

New England Baptist Hospital<br />

Information Systems<br />

USER ID<br />

PASSWORD<br />

PASSWORD SECURITY ACKNOWLEDGEMENT<br />

I understand that password is highly confidential and must not be shared with<br />

other person, except for legitimate business reasons, which have been approved<br />

by the employees' supervisor.<br />

I will take all reasonable precautions to safeguard my password. If I suspect that<br />

my password has been compromised, I will immediately change the password<br />

and report it to IS Department.<br />

The misuse of any password or misuse of information obtained by password<br />

access will be subject to disciplinary action, up to and including discharge from<br />

employment.<br />

Please sign and return it to IS Department.<br />

User Signature: _________________________<br />

Print Name: ____________________________<br />

Date:

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