New Support Request Please enable JavaScript in your browser to complete this form.Your Name *Facility *Contact Email *Contact Phone *Issue DetailsIssue Urgency *Select an Issue UrgencyLow (48 Hours)Medium (4-8 Hours)High (1-2 Hours)Low Priority (callback within 48 hours): You are able to work and are not in a down state. This option can be used for installing new hardware. Medium Priority (callback within 4-8 hours): You are able to work and are not in a down state but are having issues and can't function as you normally would. High Priority (callback within 1-2 hours): You are NOT able to work and are in a down state. This option should be used only in an emergency.Issue Type *Select an Issue TypeTechnical SupportApplication SupportApplication Support: Choose Application Support when there are issues inside of the AHT/LTC application. Technical Support: Choose Technical Support when there are issues launching AHT/LTC or if any other supporting technology fails (Microsoft 365, printing, wireless, internet, etc...).Application Support Issue Subtype *Select a SubtypeAHT19 Admissions/Discharge IssueAHT 19 Document Upload IssueAccounts PayableAncillary Tracking/TherapyBilling/ClaimsClinical/MDSGeneral Ledger/Financial ManagementNew/Modify Custom ReportPayrollQuality AssuranceSecuritySmart ChartingTrust FundAHT19 Admissions/Discharge Issue: There is an issue with AHLT/LTC. Payroll Issue: There is an issue with payroll. AHT 19 Document Upload Issue: There is an issue with AHT 19 Document Upload. Accounts Payable: There is an issue with accounts payable. Ancillary Tracking/Therapy: There is an issue with ancillary tracking/therapy. Billing/Claims: There is an issue with billing/claims. Clinical/MDS: There is an issue with clinical/MDS. General Ledger/Financial Management: There is an issue with general ledger/financial management. New/Modify Custom Report: A report needs to be created or modified. Payroll: There is an issue with payroll. Quality Assurance: There is an issue with quality assurance. Security: There is an issue with security. Smart Charting: There is an issue with smart charting. Trust Fund: There is an issue with trust fund.Technical Support Issue Subtype *Select a SubtypeAHTCitrixHardwareMicrosoft 365NetworkRDSReport ErrorUser ManagementPrinting IssueShared Drive IssueSystem SlownessBackup FailureSQL Error MessageInterface IssuesOtherAHT: AHT/LTC will not launch. Citrix: Can't access Citrix Environment. AHT: Hardware or attached peripherals don't work as expected. Microsoft 365: Access to Email or Online Office applications are down or not functioning. Network: No internet access. RDS: Can't connect to DHG RDS site. Report Error: Custom reports are not working as expected. User Management: Need to change or add a user account/password. Printing Issue: Can't print a report in AHT/LTC. Shared Drive Issue: V Drive missing or not available. System Slowness: Internet is slow, AHT/LTC is slow. Backup Failure: Backup fails to run. SQL Error Message: There is a problem with SQL. Interface Issues: Rehab Optima/Pharmacy Interface. Other: Other issue, not listed.Issue Description *File Upload Drag & Drop Files, Choose Files to Upload Captcha * = Submit
