Request Access to the DataPort and/or SFTP "*" indicates required fields Access to the DataPort, State Edition is restricted to users approved by the Maryland Department of Health (MDH). Please complete this form only if MDH has authorized the user’s access to the system.Person Completing this Form*Email* MDH Department/Manager in charge of this account (if different from above)Email Person whose account is being requested*Last Name*Title*Department*Phone*Email* Do you also need an SFTP connection? Yes No Name of Primary Hilltop Contact/Hilltop user*PhoneThis field is for validation purposes and should be left unchanged.
