subject_line
Customer Portal - Update Access Request
Use this form to request changes to
Customer Portal
access. The
Customer Portal
(
https://healthcare-customer.ecolab.com/
)
is where users access reporting for the EnCompass app. If you would like to make changes to audits within the EnCompass app, please click here to:
Request Changes to Auditors, Units, EVS Techs, HTO (High Touch Objects)
What type of Customer Portal maintenance would you like to perform?
*
Add User(s)
Edit User(s)
Remove User(s)
Account Details
Your Email Address:
*
Select Account Number Type:
*
Surgical
Infection Prevention
Customer Account Number:
*
Customer Name:
*
Customer Street Address:
*
🛈
Add User(s)
Enter in the New Users for Customer Portal
NOTE - The Email Address needs to be in lowercase
First Name
Last Name
Email Address (lowercase)
User 1
First Name
Last Name
Email Address (lowercase)
User 2
First Name
Last Name
Email Address (lowercase)
User 3
First Name
Last Name
Email Address (lowercase)
User 4
First Name
Last Name
Email Address (lowercase)
User 5
First Name
Last Name
Email Address (lowercase)
Add more Users to the Customer Portal?
Yes
Enter in the New Users for Customer Portal
NOTE - The Email Address needs to be in lowercase
First Name
Last Name
Email Address (lowercase)
User 6
First Name
Last Name
Email Address (lowercase)
User 7
First Name
Last Name
Email Address (lowercase)
User 8
First Name
Last Name
Email Address (lowercase)
User 9
First Name
Last Name
Email Address (lowercase)
User 10
First Name
Last Name
Email Address (lowercase)
Add more Users to the Customer Portal?
Yes
Enter in the New Users for Customer Portal
NOTE - The Email Address needs to be in lowercase
First Name
Last Name
Email Address (lowercase)
User 11
First Name
Last Name
Email Address (lowercase)
User 12
First Name
Last Name
Email Address (lowercase)
User 13
First Name
Last Name
Email Address (lowercase)
User 14
First Name
Last Name
Email Address (lowercase)
User 15
First Name
Last Name
Email Address (lowercase)
Add more Users to the Customer Portal?
Yes
Enter in the New Users for Customer Portal
NOTE - The Email Address needs to be in lowercase
First Name
Last Name
Email Address (lowercase)
User 16
First Name
Last Name
Email Address (lowercase)
User 17
First Name
Last Name
Email Address (lowercase)
User 18
First Name
Last Name
Email Address (lowercase)
User 19
First Name
Last Name
Email Address (lowercase)
User 20
First Name
Last Name
Email Address (lowercase)
Edit User(s)
Enter in the Names / Email Addresses to edit on the Customer Portal
NOTE - The Email Address needs to be in lowercase
Original First Name
Original Last Name
Original Email Address (lowercase)
New First Name
New Last Name
New Email Address (lowercase)
User 1
Original First Name
Original Last Name
Original Email Address (lowercase)
New First Name
New Last Name
New Email Address (lowercase)
User 2
Original First Name
Original Last Name
Original Email Address (lowercase)
New First Name
New Last Name
New Email Address (lowercase)
User 3
Original First Name
Original Last Name
Original Email Address (lowercase)
New First Name
New Last Name
New Email Address (lowercase)
User 4
Original First Name
Original Last Name
Original Email Address (lowercase)
New First Name
New Last Name
New Email Address (lowercase)
User 5
Original First Name
Original Last Name
Original Email Address (lowercase)
New First Name
New Last Name
New Email Address (lowercase)
Edit more Users on the Customer Portal?
Yes
Enter in the Names / Email Addresses to edit on the Customer Portal
NOTE - The Email Address needs to be in lowercase
Original First Name
Original Last Name
Original Email Address (lowercase)
New First Name
New Last Name
New Email Address (lowercase)
User 6
Original First Name
Original Last Name
Original Email Address (lowercase)
New First Name
New Last Name
New Email Address (lowercase)
User 7
Original First Name
Original Last Name
Original Email Address (lowercase)
New First Name
New Last Name
New Email Address (lowercase)
User 8
Original First Name
Original Last Name
Original Email Address (lowercase)
New First Name
New Last Name
New Email Address (lowercase)
User 9
Original First Name
Original Last Name
Original Email Address (lowercase)
New First Name
New Last Name
New Email Address (lowercase)
User 10
Original First Name
Original Last Name
Original Email Address (lowercase)
New First Name
New Last Name
New Email Address (lowercase)
Edit more Users on the Customer Portal?
Yes
Enter in the Names / Email Addresses to edit on the Customer Portal
NOTE - The Email Address needs to be in lowercase
Original First Name
Original Last Name
Original Email Address (lowercase)
New First Name
New Last Name
New Email Address (lowercase)
User 11
Original First Name
Original Last Name
Original Email Address (lowercase)
New First Name
New Last Name
New Email Address (lowercase)
User 12
Original First Name
Original Last Name
Original Email Address (lowercase)
New First Name
New Last Name
New Email Address (lowercase)
User 13
Original First Name
Original Last Name
Original Email Address (lowercase)
New First Name
New Last Name
New Email Address (lowercase)
User 14
Original First Name
Original Last Name
Original Email Address (lowercase)
New First Name
New Last Name
New Email Address (lowercase)
User 15
Original First Name
Original Last Name
Original Email Address (lowercase)
New First Name
New Last Name
New Email Address (lowercase)
Edit more Users on the Customer Portal?
Yes
Enter in the Names / Email Addresses to edit on the Customer Portal
NOTE - The Email Address needs to be in lowercase
Original First Name
Original Last Name
Original Email Address (lowercase)
New First Name
New Last Name
New Email Address (lowercase)
User 16
Original First Name
Original Last Name
Original Email Address (lowercase)
New First Name
New Last Name
New Email Address (lowercase)
User 17
Original First Name
Original Last Name
Original Email Address (lowercase)
New First Name
New Last Name
New Email Address (lowercase)
User 18
Original First Name
Original Last Name
Original Email Address (lowercase)
New First Name
New Last Name
New Email Address (lowercase)
User 19
Original First Name
Original Last Name
Original Email Address (lowercase)
New First Name
New Last Name
New Email Address (lowercase)
User 20
Original First Name
Original Last Name
Original Email Address (lowercase)
New First Name
New Last Name
New Email Address (lowercase)
Remove User(s)
Enter in the Users to remove from the Customer Portal
NOTE - The Email Address needs to be in lowercase
First Name
Last Name
Email Address (lowercase)
User 1
First Name
Last Name
Email Address (lowercase)
User 2
First Name
Last Name
Email Address (lowercase)
User 3
First Name
Last Name
Email Address (lowercase)
User 4
First Name
Last Name
Email Address (lowercase)
User 5
First Name
Last Name
Email Address (lowercase)
Remove more Users to the Customer Portal?
Yes
Enter in the Users to remove from the Customer Portal
NOTE - The Email Address needs to be in lowercase
First Name
Last Name
Email Address (lowercase)
User 6
First Name
Last Name
Email Address (lowercase)
User 7
First Name
Last Name
Email Address (lowercase)
User 8
First Name
Last Name
Email Address (lowercase)
User 9
First Name
Last Name
Email Address (lowercase)
User 10
First Name
Last Name
Email Address (lowercase)
Remove more Users from the Customer Portal?
Yes
Enter in the Users to remove from the Customer Portal
NOTE - The Email Address needs to be in lowercase
First Name
Last Name
Email Address (lowercase)
User 11
First Name
Last Name
Email Address (lowercase)
User 12
First Name
Last Name
Email Address (lowercase)
User 13
First Name
Last Name
Email Address (lowercase)
User 14
First Name
Last Name
Email Address (lowercase)
User 15
First Name
Last Name
Email Address (lowercase)
Remove more Users from the Customer Portal?
Yes
Enter in the Users to remove from the Customer Portal
NOTE - The Email Address needs to be in lowercase
First Name
Last Name
Email Address (lowercase)
User 16
First Name
Last Name
Email Address (lowercase)
User 17
First Name
Last Name
Email Address (lowercase)
User 18
First Name
Last Name
Email Address (lowercase)
User 19
First Name
Last Name
Email Address (lowercase)
User 20
First Name
Last Name
Email Address (lowercase)
.
Additional Notes/Comments
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