Provider Directory Error Report Form
Use this form to report an error in HPSM's provider directory. The provider directory is updated every week; however there may be incorrect or new information about a provider that has not yet been updated. If you find an error in the directory, please provide the information below so we can research the error and make corrections.
Provider's Full Name
i.e. John L. Smith, MD (individual provider) or ABC Medical Group (group)
Provider NPI
Directory
Please select any field(s) you've found inaccurate.
Name
Email Address
Proximity to Public Transit
Address
Hours of Operation
Accepting New Patients
Phone Number
Languages Spoken
Other
In the space below, please provide a brief summary of any inaccuracies. Do not give any of your own information here. For example, do not write about any appointments, treatments, prescriptions, etc
Please provide your information in case we need to contact you with questions.
Name
Email
Phone
Best Contact
Please check here if you are a current HPSM member:
Thank you