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PROVIDER CONNECTIVITY TERMINATION FORM

After connecting to MHP's CMHC system, providers must perioldically verify employees that have access to the system.  If the name of a provider IS NOT in the list below, the provider DOES NOT need to submit the form.

To continue, select the correct provider name for your organization, then enter the password for the specific provider.  (To access your password, send an email requesting the password to MH_CMHC_HELP@mentalhealthpartners.org, or call 828-323-8086.  The email should originate from the provider's own domain; i.e., employee_name@ provider_name.org.)

To add a new employee, use the Provider Connectivity Form.

If you have questions, please send an email to MH_CHMC_HELP@ mentalhealthpartners.org

* indicates required data
 
Provider Information
* Provider Name:  
* Password:
 
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