Submit a request – IT Department

What can we help you with today? Please select from below.

Your email address

Hospital Extension Number(optional)

Please input your 4 digit extension number.

Mobile Number(optional)

Please enter your mobile number in case we need to contact you directly.

What is your issue related to?

Hardware(optional)

Clinical/Non-Clinical

Which account do you need resetting?

Please select the account you are having difficulties with.

PC Username

e.g aHSTOME

NHSmail Address

Clinical App(optional)

Other Software(optional)

Subject (request in a few words)

e.g - Password Issue, Printer not working, etc

Description

Brief Description of Request

Preferred Contact Method(optional)

IT Number(optional)

You can find this on the device, or if it is a PC then it will be on the device's wallpaper.

Department

Please let us know your department, such as AMU or A+E.

What needs resetting?(optional)

Attachments(optional)

Add file or drop files here