Provider Level Access Request ONLY

**NOT FOR teacher or therapist access requests or password resets

Provider level access means creating invoices, creating therapist profiles, managing referrals, etc.


If all you need is a password reset, do not complete this survey, please click on the Reset Password link beneath the login box and above the link to this survey. IF you are experiencing issues with your password reset, please email relatedservices@k12.com

 
 
 
 

This is the company of the person needing access.

 
 

Please list the school name or school acronyms you need access to as listed by the school or the RS guide.

 
 
 
 
 
Phone
 
 
 

If you are not the signer of contract docs or the original admin on the account, please upload an email or other document from that person giving approval for your request. Provider admins can see all elements of the account including rates, services, invoices, and therapist documentation. This level of access requires written approval, email is best as it is time/date stamped and has the email signature of the person.

Drop your files here