Script Tracker Registration

NOBLE HEALTH SERVICES

6040 Tarbell Road
Syracuse, NY 13206

Ph: 888.843.2040
Fax: 888.842.3977

Mon - Fri: 8:30AM - 5:00PM (ET)
Sat: 8:30AM - 12:30PM (ET)
Sun: Closed

2506 Lakeland Drive • Suite 201
Jackson, MS 39232

Ph: 866.420.4041
Fx: 601.420.4040

Mon - Fri: 7:30AM – 5:00PM (CT)
Sat: Closed
Sun: Closed

Emergency on-call support is available 24/7/365 via our toll-free number.

Office Information

Practice name

Street Address

Suite Number

City

State

Zip Code

Practice Representative

*Please be aware that the practice representative will not be able to access patient information.

Title

First name

Last name

Phone number

How would you like to be contacted?

Phone

Is your email secure?

Yes

Ask your IT Department or Email provider if your email is cryptographically protected, and ensure that your email software is properly configured to use it.

Provider Information

Providers

Anyone who will be writing specialty prescriptions

Enter providers one per line in the format of:
FirstName LastName, DEA Number
Example:
Jane Doe, CD789012
John Smith, AB123456