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.
i.e. John L. Smith, MD (individual provider) or ABC Medical Group (group)
Please select any field(s) you've found inaccurate.
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.
Thank you