Help Request Form

If you need immediate help and it is between the hours of 8:00a - 4:00p,
then please call (858) 534-4123. Otherwise, please use the form below.

* Name:
* Email:
* Phone:
Staff/Student ID Number:
If you are requesting access to the Web Portal,
please give us the reason for your request:
Otherwise...
Please describe the problem or issue you are experiencing:

Your current status at UCSD School of Medicine is?
  MS1
  MS2
  MS3
  MS4
  Faculty
  Staff
  Grad Student
  Pharm Student
  Other