Shared Health and MBTelehealth logos
Service Desk 204-940-8500 Option 4
or toll-free 1-866-999-9698 Option 4

CSS Account Form

Fill in the form by selecting the option to request an account or to add/update provider information.

The form will be automatically submitted to the Service Desk.

Note: when requesting to add/update provider information please ensure you submit all of the information, not just updated information. This will allow us to ensure all fields are up to date in the catalogue.