Please follow the instructions below to create a new portal account.
1. Please fill in the details below format for Ambulatory Assessments and send it to aap@doh.nj.gov, and if GME assessments please send it to gmesa@doh.nj.gov.
- Facility Name:
- Facility Email Address:
- License #:
- Job title:
- First Name:
- Last Name:
- Phone #:
- Email Address:
- Who needs access and what type of access is needed? ( Assessment View/Submit Access / Assessment View Access Only)
NOTE: If you have multiple users in the same facility, please mention the details in the same above format.
( OR)
Please click here to download the format.
2. Please allow sometime for the Department to create a contact. Once contact is created, you will receive an invitation code via email.
3. Once you receive the invitation code, please click on the link provided in the email.