Massachusetts PMP EHR Integration Request Form


Please note, only authorized decision makers at the healthcare entity should complete the following forms.

Integration Process:

  1. Follow the instructions and complete ALL of the following:
    • Integration Request Form (located on the right of this page)
    • Terms and Conditions (emailed to you within 24 hours)
    • PMP Gateway Licensee Questionnaire (emailed within 24 hours)
  2. Once completed, your forms will be sent to MA PMP for review.
  3. Once approved, MA PMP will submit your request to Appriss Health, the MA PMP software vendor, to begin the integration.
  4. Appriss Health will contact you and/or your EHR/pharmacy management system vendor with next steps. Please allow up to 7 business days for this process to complete.

For more detailed information about this important initiative, please review the MA PMP EHR Integration Welcome Packet.

Please direct general questions regarding integration to the MA PMP at