PA Health & Wellness Nursing Facility Shared Savings Program

Portal Log-In Credential Request Form

As your team prepares to use the Real Time portal, we want to ensure that all necessary staff members have the appropriate access. There is no limit to the number of staff accounts a facility can request.

Please complete our credential request form for each user at your facility who will need access to the Real Time portal.

Once submitted, identified staff members will receive an email from Real Time within 24–72 hours containing individual login instructions. Please note, temporary passwords expire after 72 hours, so we recommend logging in as soon as possible after receiving the email.

If anyone needs password reset assistance, please contact the Real Time Help Desk at [email protected].

Submit this form for all team members needing access to the Real Time portal:

FACILITY INFORMATION

STAFF MEMBERS

Staff Members(Required)
To ensure credentials are issued correctly, please provide name, title, and email address for each individual requiring access to Real Time. Use "+" to add multiple team members.
Full Name
Title
Email
 

SUBMITTER INFORMATION

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Our Partners

Real Time Medical Systems
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