Submit Request

WCBR IT - Submit Request

YOUR IP: 216.73.216.72 (external)

Please fill out the form below with the details of your request or issue, and someone will contact you as soon as possible.

Note: You can check our current network and system status by clicking here.

If you would like to schedule an appointment, please click here.

Contact Information (i.e. Your name, phone number, and email address) *

Priority

Subject / Summary *

Issue Type

Additional Details

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× Rosie wants to help!

Rosie is still learning, please be patient. She can help with answers to common questions and basic troubleshooting, please give her a chance!

If you would like to chat with Rosie for help or information, click here.

Please do not submit any sensitive information such as patient names or data, passwords, or credit card info in the chat window.