Access Request Form

Welcome

Tempus Hub Access Request Form
This form will allow you to request a new account with Tempus. This form is for healthcare providers and their care teams interested in accessing the Tempus Hub. Please do not use this form if you are a Tempus patient.

A Tempus team member will be reviewing your access request and will be in contact with you as soon as possible.

Are you requesting access to the Oncology Hub or the Neurology & Psychiatry Hub today?*

Oncology - I am an oncologist, physician, care team member, or pathology labNeurology & Psychiatry - I am a physician (psychiatrist, PCP, etc.), health care provider (PMHNP, PharmD, NP, etc.) or care team member
If you need access to another Tempus product, or have a different need, please use our contact form and we will get back to you ASAP.

Contact Form

To request access to the Neurology & Psychiatry Hub, please click the link below.

Link to Complete Your Access Request

You must access and fill out the form linked above for us to receive your request.

Why are you requesting access today?*

I need access to an existing orderI would like to place a new order and need access to HubI changed institutions and need my access updatedOther

Your full name*

First NameLast Name
Your email*
Your role*
Your NPI
Since you selected your role as Nurse, what physician do you support for ordering / on a daily basis?*
Please enter a physician's full name
Do you identify as a specialist or a generalist?

SpecialistGeneralistBothNeither
Your specialty
Institution name*
Institution address*

Street Address

Street Address Line 2

City

Zip Code
State*
Zip Code*
We're testing a feature that would allow new partners to place an order while they are being provisioned. Please answer the question below to help us gauge interest in this feature!
If you had the option, would you place an order today?

YesNo
If you'd like to get started before your access to HUB is granted, we've included a PDF version of our Oncology Requistion form below.

Please note: You may also conveniently place an order via our Online Ordering form once you have access to HUB!

A Tempus team member will be reviewing your access request and will be in contact with you as soon as possible. This process may take 1-2 business days.
PDF VERSION of Oncology Requisition Form
Need help filling out this form? Contact us

800-739-4137 | support@tempus.com
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