ADH Share Support
SHARE Support Website
ADH Share Support
Submit a ticket
Provider's Care Team Change Request
Submit a Support Request
Required fields are marked with
Name:
Email:
Confirm Email:
Client Facility Name:
Client POC Phone with ext.
Client Secondary Contact:
Client Secondary POC Phone:
Client Secondary POC email:
Subject:
Message:
Suggested knowledgebase articles:
Attachments:
Add file
File upload limits
SPAM Prevention
Type the number you see in the picture below.
Before submitting please make sure of the following:
All necessary information has been filled out.
All information is correct and error-free.
We have:
18.217.157.38 recorded as your IP Address
recorded the time of your submission
(
)