NEDSS Support Helpdesk

NEDSS Support Helpdesk

Please complete the form to create a ticket. A member of our NEDSS Support Helpdesk will reply to your ticket within 24 hours. Thank you!

REMINDER: Never include PHI or PII in this form or attachments to this form.

Submitter's Name*

Contact Email*

Please use your work email address, no personal email addresses.

Jurisdiction*

Select

Program*

DSE = Disease Surveillance and Epidemiology

HIV/STD

TB

DSE

DSE Category*

Select

Please upload your NEDSS Training Certificates from the HHS Learning Portal to the bottom of this form.

Please upload the completed access request form.

Please upload the amended access request form.

Supervisor Phone Number*

Phone

Supervisor Affiliation*

Submitter Name

Name of Person Training

Submitter Title*

Submitter Email

Person training email.

Submitter's Phone Number

Phone

Submitter Affiliation*

Person training affiliation.

Supervisor*

Supervisor Title*

Supervisor Email*

Has a supervisor provided approval for this request?*

Has this user had a previous NEDSS account?

Select

Program Areas Requested in NEDSS Production Environment (once certified)*

Please make the appropriate selections. All access requests much match the NEDSS Access Form and must be attached to this request (upload completed and signed form below). A copy of the form was sent after the Training Certification Review.

If access requests do not match the form during final review, the request will be sent back for corrections to be made and there will be a delay in access.

AR/MDRO

COVID-19

IDEAS-Foodborne

IDEAS-Hepatitis A, D, E & Other

IDEAS-Infectious Diseases

IDEAS-Meningitis/Invasive Respiratory

IDEAS-Waterborne

Immunizations

Rabies, Animal (**Zoonosis Staff Only)

Varicella

Zoonosis

AR/MDRO Access Level*

Data Entry

Read-Only Access

Notification Approval (Central Office Staff Only)

COVID-19 Level Access*

Data Entry

Read-Only Access

Notification Approval (Central Office Staff Only)

IDEAS-Foodborne Level Access*

Data Entry

Read-Only Access

Notification Approval (Central Office Staff Only)

IDEAS-Hepatitis A, D, E & Other Level Access*

Data Entry

Read-Only Access

Notification Approval (Central Office Staff Only)

IDEAS-Infectious Diseases Level Access*

Data Entry

Read-Only Access

Notification Approval (Central Office Staff Only)

IDEAS-Meningitis/Invasive Respiratory Level Access*

Data Entry

Read-Only Access

Notification Approval (Central Office Staff Only)

IDEAS-Waterborne Level Access*

Data Entry

Read-Only Access

Notification Approval (Central Office Staff Only)

Immunizations Level Access*

Data Entry

Read-Only Access

Notification Approval (Central Office Staff Only)

Rabies, Animal- Level Access*

Data Entry

Read-Only Access

Notification Approval (Central Office Staff Only)

Zoonosis Level Access*

Data Entry

Read-Only Access

Notification Approval (Central Office Staff Only)

Varicella Level Access*

Data Entry

Read-Only Access

Notification Approval (Central Office Staff Only)

TB Category*

Select

CENTRAL OFFICE USE ONLY*

Select

Request Category*

Select

Patient ID or Investigation ID or Lab ID*

If you are unable to see an event in a patient's record, it may be in another jurisdiction. Please provide the event you are looking for and we will review and transfer as needed.

Investigation ID

Specimen Collection Date*

Account holder's name*

Name of NEDSS user whose account is to be changed.

NEDSS Username*

Did you receive a NEDSS Error?*

Select or enter value

Please provide the Error ID or attach error image*

Approximate time of the error or slowness reported*

Are you working remotely?*

Select or enter value

Have you completed training yet?*

Select

Please attach 'Request for Access' form

All NEDSS users must complete training to gain access. Once certification is completed for non-COVID PAMs, complete Request for Access and return via this form.

Please Complete Training*

Please change the form category to 'Training Request' and fill out the required information. You must complete training before a New Account can be granted.

Number of Outbreak Names

Once the outbreak name(s) has been determined, it will be entered into NEDSS.

COVID or NON-COVID Reports?*

Questions or problems running reports.

Select or enter value

Supervisor name*

Please provide all of the requested information. It will help us determine the appropriate training.

Supervisor's Email*

Supervisor Approval?*

Select or enter value

Name of Report:*

COVID or Non-COVID?*

Questions or problems with electronic lab reports

Select

Training Type*

Once NEDSS Training certification is completed please upload your completion certificates below

Select

User's Name and Jurisdiction*

Please provide the name and jurisdiction of each account to be deactivated.

Merge Details*

Please include a space after any COMMA used.

Requested Surviving ID:

Request/Issue Description

File Upload

For Bulk Merge Requests: Please use and upload our Excel Template File containing the IDs.

For TB Completion Certificates, DSE Completion Certificates, and NEDSS Access Request forms, and NEDSS Training Certificates from the HHS Learning Portal. Please upload the document(s) below.

*REMINDER: Never include PHI or PII in this form or attachments to this form.

Drag and drop files here or

Send me a copy of my responses

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