QUICK COMPUTER PROBLEM REPORT

Something not working?
We can help.

Tell us what happened. A few details now can make troubleshooting much faster later — even if the problem went away.

✓ No account needed✓ Works on your phone✓ Report every occurrence

You can report a problem before your supervisor approves IT work.

Reporting helps us track recurring issues. Your supervisor separately decides whether support work is authorized.

Where can we reach you?

So IT knows who to call and which business to help.

Business / practice name *

Business phone *

Your name *

Your callback number *

Your email optional

Which computer, and when?

Knowing exactly where and when helps us spot patterns.

Computer name or description *If you don't know its name, describe its desk or room.

Room or location optional

When did this happen? *Use the date and time the problem occurred — not just when you're reporting it.

What happened?

Plain English is perfect. You don't need to know the technical cause.

What programs were open? *

What were you doing right before it happened? *

What did the computer do? *

Has it happened before? *

Is it working again? *

Add a picture, if it's safe

A clear photo of the error can save lots of back-and-forth.

Protect private information.

Do not upload or type patient names, medical records, account numbers, passwords, or other sensitive information. Close or hide that information first. If you cannot safely capture the screen, just describe the error above.

Image uploads are temporarily unavailable. Please describe any error message in the box above.

Supervisor notification

Always submit your report. Approval only affects when IT work begins.

Have you told your supervisor? *

Status of supervisor approval *

Selecting “Supervisor said yes” does not authorize billable work by itself. IT confirms authorization separately.

I have left out patient and other sensitive information. *

A submitted report is a record of the issue, not an automatic authorization to start paid IT work.