Provider Profile Access Request Form

Providence St. Joseph Health invites you to complete your provider profile as part of the system-wide provider directory database. The information you enter in your profile will be used to ensure websites, contact centers, patients and caregivers have the most up-to-date provider information.

To update a provider profile, you will need access to the Kyruus ProviderMatch tool. Please complete this form if you are a provider or administrator that needs access to ProviderMatch to update provider profile(s). Login instructions will be emailed by Kyruus to the email you provide.

To have provider profile changes made for data fields that are not editable in ProviderMatch with your login, please email and provide instructions for the data field you need to change.

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