Request an Account for MISP HCRM CRM Web Access
County of Riverside Employees - Only
Submit a
SAR
(System Access Request) form.
Forward SAR form via Inter-office envelope to RCRMC Information Services Department mail stop #3890.
Upon receipt of your completed SAR form, your internal MISP HCRM access will be activated
Non County Requestors
You are requesting an Account for Eligibility lookup of the Riverside County
MISP Department
.
By Requesting this account you agree that:
You are a provider of MISP Services.
In order to process your Account Request, we will need you to fill out the following information and complete the requested actions:
A signed copy of the
eAccess Agreement
faxed to (951)486-4815.
Completion of the form below. (Enter all required information)
Click on "Request Account"
Account Information
First Name:
Last Name:
Email:
Login:
Vendor Name:
Vendor Tax ID:
Upon Review of your faxed
eAccess Agreement
your Account will become Activated.
Once Activated the following will occur:
You will receive an Email with your Temporary Password.
On your first login you will be required to change your password.
You will also be asked to change your password every 90 days in accordance with HIPAA regulations.