Page 1

Epic Security Form Return to Scott Whitson via Courier or email to Answer all information on users. If they do not have CareCast or Citrix today, document “none”.

CareCast #

Office Name-

Manager Name-

Office Phone #-

Manager email-

St. Luke’s Citrix Last Name username



Security ClassesClinical (1)- access to majority of patient data including lab, rad, path, etc. Clerical (2)- only access to insurance and demographic information

Professional Title (RN, LPN, CMA, etc.)


Last four of Social


Security Class (1 or 2, see below)