|
  |
|
User Name |
|
A unique name that you will use to access the system. Begin with a letter, and use only letters (a-z),
numbers (0-9), and the underscore(_), and no spaces. The user name is not case sensitive.
|
Password |
|
Must be at least (7) characters long,contain at least one number (0-9),
and at least one uppercase and lowercase letter (A-Z, a-z), but no
spaces. Must not contain the User Name, or your first or last name.
Make sure it is difficult for others to guess! The password is case sensitive.
Good passwords should be easy to remember, but difficult for others to guess.
Consider using numeric sounds in place of aural sounds to create words or phrases.
For example, if you dislike the winters, a good password might be ih8theCold.
|
Password Confirmation
|
|
Because the password is displayed on your screen as a series of asterisks, retyping it ensures that your account
is created with the correct password.
|
Password Hint
|
|
A password hint is a short phrase that will help you to remember your password in the event that you forget it.
Continuing with the password example earlier, an appropriate password hint might be I dislike winter. |
|
  |
|
Prefix |
|
The title that preceeds your name. If you feel an option has been omitted, please let us know
|
First Name |
|
Enter your first name (also known as your given name).
|
Middle Initial(s)
|
|
List one or more of your middle initials.
|
Last Name
|
|
Enter your last name (also known as your surname).
|
Suffix
|
|
Enter anything that traditionally follows your last name, such as Jr., Sr., or IV.
|
Email Address
|
|
The email address where you would like to receive Health Alerts sent by the Department of Health, and confirmation of registration and delegation. No confidential information will ever be sent to you by email.
|
|
|
If you do not have an email address, you can use Hotmail to create one for free [ the hyperlink will open in new window]
|
Telephone Number
|
|
A telephone number where we can contact you. Once you register, you will be able to fill in additional phone numbers, fax numbers, mailing and email addresses. The extension field is optional.
|
Field |
  |
Content Required |
Organization Name |
|
Enter the name of the organization as it is registered with the Pennsylvania Department of Health.
|
Organization Type |
|
Choose the type of facility where you work. Select the appropriate choice from the drop down list.
|
Street Address
|
|
Enter the address of the building where you work, as it might appear on an item sent in the mail. Although it is not required, you may wish to use both lines if you have a post office box, a rural route or a specific mail stop at a large facility.
|
City
|
|
Enter the name of your city.
|
County
|
|
Choose the name of your county. If you are entering an address that is out of state, please select Out of State from the list of choices.
|
State
|
|
Choose the name of your state. If you are entering an address that is out of the country, and not a US annex, please select Out of Country from the list of choices.
|
Zip Code
|
|
Enter your zip code.
|
Organization Telephone Number
|
|
Enter the main telephone number of the organization.
|
|
|
|