Thank you for contacting the LifespanLink Request Team. If you are having difficulties with this form, please contact us at 401-606-5465, during our normal business hours, Monday through Friday, 7:30 a.m. to 6 p.m. 

If you are sending files, please note that we are not able to accept PDF, Excel or Word documents through this form.

  • For Word documents, please save the file as a .rtf or .txt file before uploading. 
  • For Excel spreadsheets, please save the file as a .csv document before uploading.

For new practices: After submitting your new practice request with the uploaded spreadsheet, please fax all other documents to 401-444-4207.

Request Form

To add a new user to an existing LifespanLink practice, please attach your spreadsheet below:
Files must be less than 2 MB.
Allowed file types: txt rtf csv.
Files must be less than 2 MB.
Allowed file types: txt rtf csv.
Requestor's Information