Submit a request – Ayin Help Center

If this is your first time submitting a request, you will be required to verify your email address to ensure your request is received. After submission, please check your email, including the spam/junk folder, for our verification message.

Your email address

Subject

Do not include protected health information in the subject field.

Please select the appropriate category:

Description

Please enter a brief summary above. You can include PHI in this description field. Requests submitted in this portal adhere to HIPAA compliance standards. Please remember to observe minimum necessary guidelines when transmitting PHI.

Attachments(optional)

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