Request Support

Technical Support Request Form

We encourage users to submit technical support questions using the on-line form. The information will assist Digital Innovation in planning and improving product support. If you prefer to call, please click here for a list of technical support phone numbers.

Please complete and submit the form below. A Digital Innovation Product Support Representative will contact you by phone or e-mail.

First Name: Last Name:
Organization:
Phone Number:
Email:

Product:
Trauma Registry DI Report Writer Burn
Outcomes Web Portal ACS Registry
Case Master


Category:
Issue
Request
Question for Technical Support: (If applicable, please include any error messages and/or report specifics.)