Off Site Resource Access Registration

Use this form to request off site access to Banner Health's electronic information resources using Athens. This service is only available to Banner Health employees and affiliates in Arizona. If you have any questions regarding your eligibility, please contact Janene Wandersee at the Banner Health Library, 602-839-4353.

All fields with a * are required.

Select the Banner institution(s) you are affilitated with.
(Use the Ctrl key to select more than one.)
* Institution:

If you selected other, please specify a facility.

 

Select one group that most closely matches your position.
* Group:

If you selected other, please specify a group.
Employee ID:
(Lawson #)  
Title:
* First Name:
* Last Name:
* Department:
* Status: Permanent Temporary
If temporary, what date does your contract/placement/rotation end?
End Date:
* Work Phone:
* Email:

Username and password details

Account activation may take up to 3 business days. You will receive an email when your account has been activated. Should you have any problems using this service, please contact Janene Wandersee.

Terms and Conditions

* I am aware terms and conditions apply to the use of personal Athens usernames and agree to abide by them.    

To confirm your details please click the Submit button ONCE and wait for the confirmation screen to appear.