Providers

Provider Document Upload
Choose "Upload Document" to attach a document. After the document is attached, click the "SUBMIT" button. Once your document is submitted, you will get a confirmation number showing that the documents were successfully received.
PRIM ID
Provider License Number
(Recommended)
Email*
Enter Email Confirm Email
Submitter's Name*
First Last
What form does this document apply to?*
Documents*
Drop files here or

Accepted file types: jpg, png, tiff, pdf, gif.

Report Attendance and System Issues
PRIM ID
Provider License Number*
Submitter's Name*
First Last
Contact Phone*
Contact Email*
How may we assist you?*
- New child was scheduled to begin care, but has not attended
- Child has been absent for 5 consecutive days
- Provider Request Drop
TWIST ID*
Scheduled Start Date*
Start Date of Absences*
Drop Date*
Approximate Date and Time the problems began*
Name of child*
First Last
Name of parent*
First Last
Reason Description*
Description of problem*
Existing Work Item/Submission Number

PRIM ID
Provider Document Request Form
Choose "Upload Document" to attach a document. After the document is attached, click the "SUBMIT" button. Once your document is submitted, you will get a confirmation email showing that the file was successfully received.
Provider License Number*
Email address*
Submitter's Name*
First Last
Document Type

Provider Document Upload