Panorama Vaccine Forecaster Issue Report Form This form should only be used for Forecaster Email Completed Form: related questions, concerns or comments. eHS Service Desk Please contact the Service Desk for general +1-888-316-7446 support with the Panorama application. servicedesk@ehealthsask.ca Contact Details Full Name: User ID: Email/Phone: PHO: RHA/FNJ: Issue Details ID *Client ID: HEADER. HCN *Pertinent Clinical Info (Minimum: Risk Factors, Special Considerations, DOB): IF *Issue Summary: *Pertinent Screenshots: POSSIBLE, Follow-Up (Completed by MoH/eHS) Date Received:
Panorama Vaccine Forecaster Issue Report Form This form should only be used for Forecaster related questions, concerns or comments. Please contact the Service Desk for general support with the Panorama application. Email Completed Form: eHS Service Desk +1-888-316-7446 servicedesk@ehealthsask.ca Contact Details Full Name: User ID: Email/Phone: PHO: RHA/FNJ: Issue Details *Client ID: ID HEADER. HCN *Pertinent Clinical Info (Minimum: Risk Factors, Special Considerations, DOB): *Issue Summary: *Pertinent Screenshots: IF POSSIBLE, Follow-Up (Completed by MoH/eHS) Date Received:
Panorama%20Vaccine%20Forecaster%20Issue%20Report%20Form.docx