Request Access to UNC CareLink

Please do not request a UNC CareLink account if you already have access to UNC CareLink or Epic@UNC (Hyperspace).
Accounts will be deactivated after 180-days of no activity. Reactivation of accounts can be requested via UNCCareLink@unchealth.unc.edu.

* Indicates a required field

User Information

A Provider can submit orders and has an NPI, e.g., a doctor or a nurse practitioner. A Non-Provider cannot submit orders and does not have an NPI, e.g., a nurse or an administrator. *

Provider Non-Provider

First Name *

MI

Last Name *

Email *

Date of Birth *

(mm/dd)

Title *

Specialty *

SSN *

(Last 4 Digits Only)

Site Administrator?

UNC CareLink Site Administrator A UNC CareLink site administrator is the person responsible for maintaining a site's records. These responsibilities include verifying that user accounts are current, deactivating the accounts of users who are no longer active at the site, and submitting requests to activate new user accounts. Every site must have at least one administrator. *

Yes No

Intake Staff for Post-Discharge Referrals?

Intake Staff for Post-Discharge Referrals User responds to admissions / referrals from hospital case managers (specifically for ALF, SNF, IRF, LTACH, HH, Hospice, DME, Dialysis and Group Homes). Responding "yes" will provide you with access to pertinent In Basket messages for this facility. *

Yes No

For Providers Only:

Provider Type *

State *

You do not know the Personal NPI? No problem. Click me to look it up. *

(xxxxxxxxxx)

License # *

(xxxxxxxxxx)

Practice Information

Legal Name *

Legal Address *

Office Phone *

(xxx-xxx-xxxx)

City *

Referral Fax *

(xxx-xxx-xxxx)

State *

Zip Code *

You do not know the Practice NPI? No problem. Click me to look it up. *

(xxxxxxxxxx)

County *

UNC CareLink Site Administrator UNC CareLink Site Administrator A UNC CareLink site administrator is the person responsible for maintaining a site's records. These responsibilities include verifying that user accounts are current, deactivating the accounts of users who are no longer active at the site, and submitting requests to activate new user accounts. Every site must have at least one administrator.

First Name *

MI

Last Name *

Phone *

(xxx-xxx-xxxx)

Email *

Associated Providers – Do NOT add here if they are on your Authorizing Provider list under Order Entry already.

Name

Specialty

NPI

License

State

Reset