John P. Anderson, Program Coordinator
307-777-5773
Lisa Wordeman, WyIR Trainer
1-800-599-9754 Toll Free
or 307-777-2413
Fax: 307-777-3615
PROVIDER FORMS
Provider Enrollment Forms
WyIR Provider Enrollment Agreement
WyIR Provider-User Access Level Form
WyIR Individual User Agreement
WyIR Acknowledgement of Training Form
School Nurse Enrollment Forms
WyIR School Nurse Enrollment Agreement
Other WyIR Forms
WyIR Opt Out Form
WyIR Remove User Form
State of Wyoming HIPAA Forms
Access to Records Request
Amendment Request
WyIR User Manual Updated as of January 29, 2008
LOG IN TO THE REGISTRY Click Here to Login to the Registry 2008 Provider Estimate Tool for WyIR Users January 3, 2008 update
LOG IN TO THE REGISTRY
Click Here to Login to the Registry
WyIR System Bugs as of June 26, 2008
RELEVANT CONTACTS FOR WIP as of April 23, 2008