Off-site Access Request Form - Hospital affiliated physicians & employees only

Request a MyAthens username & password to access library's resources from off-site.
Name *
Email *
1. Select your group: *
2. Attention Physicians: Physicians can access library resources via Citrix or Connect login without the need for a separate username/password. To learn more go to Physicians Off-site Access. Confirm below if you still want MyAthens username / password access.
Thanks, I prefer a MyAthens single username/password access
3. Please provide your preferred password (must include letters and non-letters and be between 8-20 characters and cannot include the username or have consecutive numbers). Passwords are case sensitive. *
4. Please confirm that you are affiliated with the Huntington Memorial Hospital. *
Yes, my affiliation is verifiable with human resources and/or in the medical staff roster.
5. How did you hear about off-site access? *
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