New Data - Phone Jack Request
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General Information
All fields marked with an asterisk (*) are required.
1.
Requester Name:
*
2.
Requester Phone:
*
Example: 6603550
3.
Requester Department:
*
--Please Select--
Administration and Finance
Arts & Sciences
Bedlam Clinic
BioEthics
Call Center
CCE Training and Research Center
Central Billing
Central Registration
CHC-Community Health Connect.
Clinical Affairs
Clinical Research (CCTR)
College of Allied Health
College of Education
College of Nursing
College of Pharmacy
College of Public Health
Compliance
DE/PC Classroom
Deans Office (COM)
Democracy
Derm-Adelson
Dermatology
Emergency Medicine
Family Medicine Clinic
Family Medicine Department
Family Medicine PPP
Health Awareness
Human Relations
Human Resources
Information Technology
Institutional Review Board
Internal Medicine Clinic
Internal Medicine Department
Justice Center (CAN)
Lab
Library
Library & Info Studies
Medical Informatics
Medical Records
NRC
OB/GYN Clinic
OB/GYN Department
OB/GYN PPP
Operations
PACT
Pediatric Diabetes Clinic
Pediatrics Clinic
Pediatrics Department
Peds-SFH
Physician Assistant Dept.
President's Office
Prospective Stu. Svcs.
Psychiatry Clinic
Psychiatry Department
Purchasing
Ramona (Family Medicine)
Resident-Student Affairs
School of Social Work
Schusterman Central Reg
Schusterman Clinic
Security
Student Employee Health Clinic
Student Services
Student Support
Surgery Clinic
Surgery Department
Surgery PPP
TCOMM
Tulsa Grad College
Union
Urban Design Studio
Williams
Xray
4.
Contact for Questions:
*
5.
Request completion date:
*
Example: 12/05/08
6.
Billing (Chart field/Account):
*
If the charge is for Norman side then type "Norman" in the field below.
I
f you need assistance or have questions please contact the Tulsa IT Helpdesk at 660-3550 Option 1 or email
Tulsait-helpdesk@ouhsc.edu
.
