ECMC Consent Award Distribution - Supplemenatry Information

Please use this form to upload supplementary information for your claim. Documentation supporting your claim can be broad, but it cannot violate HIPAA. It may include screenshots, schedules, text messages, assignment sheets, or anything else showing your work assignment. However, supporting documentation must not include personal health information of patients, no members should access the Hospital’s electronic health records in order to seek to obtain this documentation.