Heading1

Personal Information (EHR)


By default your Personal ID Number (PIN) should be in the first box by default every time.

If the Personal ID Number (PIN) box is left blank a new unique PIN will be generated for you.

  • Enter new/updated information below and then press submit.
  • MM slash DD slash YYYY
  • (years)
  • Accepted file types: jpg, gif, png, pdf, Max. file size: 1 MB.
  • This field is for validation purposes and should be left unchanged.

Heading 2
Heading 3

Unique ID612501706182

Username

Test7

Email

Email hidden; Javascript is required.

Entry ID

145

Entry Date

July 4, 2019

User IP

75.155.221.56

User

tw349

Other Entries
    Link to Entry

    View Details

    Approval Status

    Unapproved

    Unique ID612674190243

    Username

    test4

    Email

    Email hidden; Javascript is required.

    Entry ID

    143

    Entry Date

    July 4, 2019

    User IP

    75.155.221.56

    User

    tw349

    Other Entries
      Link to Entry

      View Details

      Approval Status

      Unapproved

      Unique ID4922351051

      Username

      selects

      Email

      Email hidden; Javascript is required.

      Entry ID

      60

      Entry Date

      November 15, 2017

      User IP

      216.151.183.94

      Link to Entry

      View Details

      Approval Status

      Unapproved

      Unique ID1506779048

      Username

      LAURIELALLEN

      Email

      Email hidden; Javascript is required.

      Entry ID

      12

      Entry Date

      April 28, 2017

      User IP

      68.231.216.74

      User

      info@healthwellness.app

      Other Entries
        Link to Entry

        View Details

        Approval Status

        Unapproved

        Unique ID8239783909

        Username

        aislinn

        Email

        Email hidden; Javascript is required.

        Entry ID

        10

        Entry Date

        April 27, 2017

        User IP

        207.6.88.142

        User

        admin@ehra.ca

        Other Entries
          Link to Entry

          View Details

          Approval Status

          Unapproved

          Unique ID1547719934

          Username

          warren

          Email

          Email hidden; Javascript is required.

          Entry ID

          9

          Entry Date

          April 26, 2017

          User IP

          207.6.88.142

          Other Entries
            Link to Entry

            View Details

            Approval Status

            Unapproved

            Heading 4

            The latest donation received was in memory of .

            Primary Contact Name: .

            Primary Contact Phone #1: .

            Primary Contact Phone #2: .