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AACTS Support & Enhancement Request Form

 

 

Please complete the following form as much as possible.  Once you have completed the form, click the "Send Request" button at the bottom of the page.  The information will automatically be sent to MMTG.  Items in bold red are required.  

**SPECIAL NOTE: Requests sent 11/19-11/28/08 may receive a delayed response.  If you are experiencing access issues (including a message that reads "you already have an instance of AACTS open") or need your CareAccess password reset, contact them directly at support@careaccess.org.**

 

Name of person completing form

Email

County

Why are you contacting MMTG?

AACTS Form related to issue or request:

AACTS Report related to issue or request:


Description of the technical issue or enhancement request.  If you are having a technical issue, please make sure to include the steps taken prior to experiencing the problem, as well as any error messages that may have appeared on your screen. 

Client ID (located to the left of the Client's name in the search drop-down) 
Case ID
Date/Time of the Report(s) of Abuse associated with the issue?

Contact information for End-User who first noticed the issue (if different from requestor)

User Name
User Role/Title?
Telephone
Email

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