STAFF INFORMATION TAB

(FOR LOCAL CMBHS ADMINISTRATORS)

 

 

STAFF INFORMATION TAB

 

Title

(Required for all business entity types)

 

 

Prefix and Suffix

(Optional for all business entity types)

 

 

First, Middle and Last Names

(Required for all business entity types)

 

 

Date of Birth

(Required for all business entity types)

 

 

(SSN) Social Security Number

(Not Required)

 

After you have entered the staff person’s information:

 

CAUTION:
  • The Staff password for this user is only displayed while on this page.
  • If you navigate away from the page and return, “Encrypted” will be displayed as the password, and you will need to reset the password to see it.

 

NOTE:
  • The password entered or generated here is a temporary password that is changed by the user when they log in to CMBHS for the first time.

 

 

CONTACT INFORMATION

 

Office Phone and Extension

 

Phone Type

 

Other Phone and Extension

 

Email

 

 

CLICK HERE to go back to Provider Locations

Click Here To Go To Credentials Tab