Get Started with Statewide Encounter Alerts

Complete the form below to start the process for your organization to participate in the Statewide Encounter Alerts Service (SEAS) through HealtheConnections.

If you're not sure whether questions apply to your organization, contact us. We're happy to guide you and ensure the form is completed correctly.

If you're a patient looking for information, please reach out to support@healtheconnections.org.

Organization Information





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Primary Location









Primary Contact






Health Information Network Participation


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Enter any additional information regarding your request for participation that you feel relevant.