Hey! looks like you found the old IT work request form. No problem. This one offers more features but is a little more tricky to use. If you want you can still use this, just remember the following:
1) You must be on a computer at either the hospital or clinic or using the VPN to see the page below (it will not work at home). If you get an error message or see nothing you can still send an email message to firstname.lastname@example.org instead.
2) Sign on with your windows username/password (not your Google Apps username/password). This is the username/password you use to log on to a computer.
3) If this is your first time submitting a request you may be asked to provide some additional information. Please do so if you have time.