If a facility does not have a Primary User, or the designated Primary User is not available, you may create a new Primary User account directly. To request a new Primary User account, the new Primary User must Create a Helpdesk Ticket that includes a request for a Primary User account and a patient facility identifier (PFI). In addition, users requesting a new Primary User account must copy their facility's chief security and/or privacy officer using the 'CC' field when submitting a ticket for account creation.