St. Joseph Health System
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                For Providers

                How to Join

                Step 1: Fill out and sign our HIE Participation Agreement

                Pg 1: Practice/ProviderName

                Pg 5: Sign & Date

                Pg 24: Exhibit E-1

                Step 2: Fill out HIE Assessment Questionnaire

                Step 3: Please submit the completed HIE PA and Assessment Questionnaire forms online or via email/fax. An HIE representative will contact you to further assist you.

                Email: HIE@stjoe.org

                Fax: (714) 935-1407

                For any other questions, please contact us.

                For Providers

                • How to Join
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                St. Joseph Health System
                • Phone: 844-256-4HIE (4443)

                  Main: 714-937-7000

                  Fax: 714-935-1407
                  HIE@stjoe.org
                  3345 Michelson Drive, Suite 100, Irvine, CA 92612

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