Forms

Requesting Access to Mednet Email During Leave of Absence (LOA) for Staff?

Please read the following:

UCLA Hospital System policy #HS9452 requires all access to be suspended for employees on leave of absence (LOA) until they are eligible to return to work. A director’s approval is an exception to this policy. It is also an acknowledgment that the approval is at the request of, and for the convenience of you, the employee, and is not intended for the benefit of UCLA Health. There are no expectations of employees on LOA to conduct any University business.

Please enter your name:

Reach out!

If you require any help, have inquiries, or would like to share your thoughts with the IT team, please don't hesitate to reach out to us!

You may send an email to NPIHDesktop@mednet.ucla.edu or you can fill out this form to get in touch with one of our team members.

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Attention!

Applying for mednet vpn access?

Only supervisors/managers should complete this form!

Click here to proceed

Attention!

Applying for access request with no UCPath appointment?

Enter user's name.

Please SELECT ONE of the categories below that the user belongs to.

Note: If none of these apply to you, then you should not fill out this form.

For a definition of each category, hover over here!
CATEGORY DEFINITION
Affiliate A student or staff in non-UCLA Health department.
Contractor Meets BFB-BUS-77 Independent Consultant Guidelines https://policy.ucop.edu/doc/3220485/BFB-BUS-43 https://policy.ucop.edu/doc/3600670/Independent Contractor
Collaborator User who is a student or staff in other universities and is part of an IRB.
Intern User is not enrolled in any UC campus as student. Need access to participate in training or internship.
Volunteer Registered with UCLA Health Sciences Volunteer Program https://www.uclahealth.org/volunteer/ucla-health-sciences-volunteer-program

just making sure you're not a robot

Attention!

Applying for Research careconnect access?

Please contact Semel Research CareConnect at SemelResCon@mednet.ucla.edu.