Please complete this form. A valid e-mail address and user ID are required. If you have not registered yet
then please click here to return to the login page. If you still require
to send a request for technical support.
A new confidential password will be generated and e-mailed to you. You will then have to return to the
Login page and log in using the new password.
By electronically "signing" this form with your name, you certify that
you are authorized to access confidential information provided to you by IHC Health Solutions in your capacity
as an agent contracted with IHC. You certify that you will protect the confidentiality of your User ID and
Password and you will not permit third parties outside your control to access confidential information on this web site.
Enter your full name: