Contents
💡 Closing Your Practice or Transitioning EHRs?If you are closing your entire practice or transitioning to a different EHR system, see our
Offboarding & Data Export Checklist for a comprehensive guide to exporting patient data and notifying patients.
Overview
When an Elation user account is disabled, the user will no longer have access to the account and its data. This guide walks practices through recommended action items that should be taken before provider/physician or staff level users leave your practice and before their Elation account is disabled.
Following these best practices ensures a smooth transition when team members leave your practice. This will ensure:
- No action items are misfiled or overlooked
- Patients are properly reassigned and notified
- Pending prescriptions and messages are handled appropriately
- Administrative reports are preserved before account deactivation
Workflow Instructions
Before disabling any Provider Level User, reach out to our Support Team via the I need help button or fill out this form to let us know that these changes will occur. Include the following information:
- Which provider level user is leaving your practice
- The date that this provider level user will no longer need their account active
- Is a new provider/physician taking their place?
- If so, how many hours will the new provider work per week and will they need an account with prescribing privileges?
- New provider/physician's start date
With notification of this change and the information above provided, our teams can ensure that your Elation information, like billing, is properly updated.
If a provider is retiring from clinical practice but wants to remain involved in practice administration, you can disable their Provider Level account and create a free Staff Level account with Admin privileges. This approach removes the provider seat from your subscription while preserving their ability to manage the practice.
- Reduce subscription costs – Disabled Provider Level Users are not counted toward your provider license summary, so you will no longer be charged for that provider seat.
- Maintain administrative access – Staff Level accounts can be granted Admin privileges, allowing the retiring provider to continue managing user accounts, configuring settings, and overseeing practice operations.
- No additional cost – Staff Level User accounts can be added for free.
| 1 | Complete all provider account action items – Before disabling the provider account, follow all steps in the Action items for Provider/Physician Accounts section below (Practice Home queues, patient reassignment, appointments, EPCS, reports, etc.). |
| 2 | Notify Elation – Reach out to the Support Team via the I need help button or submit a request to let Elation know the provider is retiring and the date their account should be deactivated. Include whether a replacement provider is joining. |
| 3 | Create a new Staff Level account – Go to Settings → Manage Accounts and click Invite Staff. Use the retiring provider's preferred email address (this can be the same email if the provider account is disabled first, or a different email). |
| 4 | Grant Admin privileges – After the staff account is active, click Make Admin next to the new Staff Level account in Manage Accounts. |
| 5 | Disable the Provider Level account – Once the Staff Level account is set up and the provider has completed all clinical handoff tasks, disable the Provider Level account by clicking Disable next to the provider's name in Manage Accounts. |
- Disabled Provider Level Users are not counted in the provider license summary on the Manage Accounts page.
- Notify Elation before the provider's last active date so billing can be updated appropriately. Include the date the provider will no longer need their account active.
- For questions about how this change affects your specific invoice or contract, reach out to Elation using I need help → Contact Elation Support.
With Admin privileges on a Staff Level account, the retiring provider can do the following administrative tasks:
- Manage user accounts (invite, disable, re-enable, unlock)
- Configure practice settings (billing, templates, labs, calendar, etc.)
- Enable features such as MFA, Patient Booking, Patient Forms, and Patient Payments
- Manage User Groups and Report/Visit Note Categories
Staff Level accounts do not have Provider Level privileges, so the retiring provider will not be able to:
- Sign visit notes, prescriptions, orders, or referrals
- Have a calendar in Elation
- Be listed as the rendering or billing provider on claims
- Have patients assigned to them
- Access EPCS (electronic prescribing of controlled substances)
ℹ️ NOTE
If the retiring provider is an Access Control Manager for EPCS, assign those permissions to another eligible user before disabling the provider account. Each practice needs at least two Access Control Managers, one of which is a provider. Also, ensure that all lab vendors are notified. Some vendors may be able to reroute lab results to a different provider within the practice.
The following changes will occur immediately once provider/physician level accounts are disabled:
- The provider will not be able to log in to Elation
- Your practice will no longer be able to view their schedule on the calendar
- The provider's Practice Home queue will be hidden
- Any office messages that are left in their queue will need to be acknowledged by another provider/physician in the practice
- Any other open items in their queue will need to be signed or completed by another provider/physician in the practice
- Patients who are assigned to the disabled provider/physician will need to be re-assigned to another provider/physician in the practice
- The provider/physician will be removed from all administrative reports
ℹ️ NOTE
Please read through each section below to make sure the proper actions are taken to ensure a smooth transition.
Practice Home Queues
Please have the departing provider address and/or complete all items in their Practice Home Queues (e.g., Reports, Rx Request, Office Messages, etc.) before they leave your practice. If there are any open items remaining after their departure, make sure another provider in the practice addresses the open items before disabling the departing provider/physician's account.
Lab/Imaging/Hospital Reports
Please notify the different facilities from which you receive electronic results and let them know of the provider's departure from your practice. Specifically, we recommend sharing the provider's last day and asking them to forward any of the reports they ordered to a different provider at your practice (provide the new provider's NPI number) after that date if possible.
If the facilities are unable to forward the electronic results to a different provider at your practice, the results will not automatically arrive in Elation. Your practice will need to retrieve these reports directly from the facilities via their own websites or have the reports sent to your practice via fax or paper mail.
Refill Requests
Please reach out to our Support team through this form, or through the I need help → Contact Elation Support option within Elation, to notify us of the date to turn off the Refill Request feature for the provider who is leaving.
After this date, pharmacies will see that the provider's electronic prescribing functionalities are disabled and will send refill requests to your office via fax instead. The new attending provider at the practice should respond to these faxed refill requests via Elation by sending a prescription electronically back to the pharmacy so that the next time the same patient needs a refill, the refill request will come directly to the new attending provider through an electronic request in Elation.
Post-dated Office Messages
If the departing provider ever sent post-dated messages to themselves or other members of the practice, those messages will be automatically signed off and stored in the patient's chart once the leaving provider's account is disabled.
If needed, our Technical Team can generate a report of these messages and share them with you so that the remaining staff and provider(s) can follow up on them. Please reach out to our Support team through this form with the following information:
- Name of the provider leaving
- Date range of the post-dated messages (you can also say "Any message after a specific date")
Patient Passport Messages
Before disabling the departing provider's account, we recommend you pull a Patient List Report of all the patients assigned to the leaving provider using the Reports → Patient List report tool and reassign those patients to a different provider at the practice. If there are many patients, our Technical Team can assist with reassigning multiple patients at once.
This way, after the departing provider's account is disabled, all new patient Passport messages will be routed to the new provider instead of the departing provider.
Appointments with the departing Provider
Any appointments scheduled on the departing provider's calendar for any date after they have left will need to be manually transferred to a different provider's calendar because the departing provider's calendar will be hidden from the practice once their account is disabled.
You can move appointments by editing each appointment and changing the provider it is assigned to, as shown in the image below.

You can also download an appointment report by selecting Reports → Appointment Report from the top blue bar of your account to find and reference appointments scheduled with the departing provider in the future.
💡 USER TIP- If you need to view an appointment report that is longer than 2 weeks, please manually type in the "From:" and "To:" dates and click the Download List of Appointments as CSV button to download the report and view in a spreadsheet software on your computer.
- If you need to view an appointment report that is longer than 6 months, you will need to break up the time frame into multiple reports, download the reports to your computer as a CSV file and then combine the data in a spreadsheet software application. For example, if you would like to see all appointments from 2020, you will need to run 3 reports; each with the following time frames:
- 01/01/2020 to 05/31/2020
- 06/01/2020 to 10/31/2020
- 11/01/2020 to 12/31/2020
Access Controls for EPCS
If the departing provider is an Access Control Manager for EPCS set up and configuration, please ensure there is another Access Control Manager at your practice before the provider leaves. Reference the EPCS Access Controls Guide to update access control settings if needed.
Administrative Reports
If you need to retain a copy of any administrative reports for the departing provider, you must download the reports prior to disabling the departing provider's account. Please reference the following articles for each administrative report you might need:
Recommended: Notify Patients Using Bulk Letters
When a provider is leaving your practice, follow these steps to notify affected patients via a Bulk Letter:
| 1 | Run a Patient List - Go to Reports → Patient List and filter by the departing provider to identify their patient panel. |
| 2 | Send a Bulk Letter - Select all patients from the list and click Send Bulk Letter to notify them about:
- The provider's departure date
- Who will be taking over their care
- How to request copies of their medical records if needed
|
| 3 | Reassign patients - Update patient assignments to ensure Passport messages route to the correct provider going forward. |
See the Bulk Letter Guide for detailed instructions on creating and sending bulk letters.
ℹ️ NOTE
After a departing provider's account is disabled, if a patient sends the departing provider a message from an existing Patient Letter, those messages will not appear in the newly assigned provider's inbox. We recommend that the "Everyone" Practice Home queue is checked periodically to check for these kinds of Passport messages.
While it is not necessary to alert our Teams when staff level accounts are disabled, we still recommend the following workflows occur before disabling a staff level account.
Practice Home Queues
Please have the departing staff address all items in their Practice Home Queues (e.g., Office Messages, Patient Letters, etc.) before they leave your practice. If there are any open items remaining after their departure, make sure another member in the practice addresses the open items before disabling the departing staff's account.
Post-dated Office Messages
If the departing staff ever sent post-dated messages to themselves or other members of the practice, those messages will be automatically signed off and stored in the patient's chart once the departing staff's account is disabled.
If needed, our Technical Team can generate a report of these messages and share them with you so that the remaining staff and provider(s) can follow up on them. Please reach out to our Support team through this form with the following information:
- Name of the staff leaving
- Date range of the post-dated messages (you can also say "Any message after a specific date")
Access Controls for EPCS
If the departing staff is an Access Control Manager for EPCS set up and configuration, please ensure there is another Access Control Manager at your practice before the staff leaves. Reference the EPCS Access Controls Guide to update access control settings if needed.
ℹ️ NOTE
To disable Elation accounts, you must have administrator (Admin) level privileges. If you do not see Manage Accounts in your Settings page, then you are not an Admin. To become an Admin, you must ask an existing Admin level user in your practice (most likely a primary provider level account holder) to grant you privileges via the Manage Accounts settings page.
Once you have addressed the action items listed above, you are ready to disable the departing user's Elation account. To deactivate or disable a provider or staff level Elation account within your practice, Admin Users in your practice can follow these steps:
| 1 | Select your email address from the blue bar at the top right of your Elation page and select Settings from the drop down. |
| 2 | Scroll to the bottom and click into the Manage Accounts settings section under Admin Users Only. |
| 3 | Select the down arrow to the left of Active Users to expand the list of active Provider or Staff users at your practice. |
| 4 | Click the Disable button next to the name of the user that you want to disable. |
| 5 | Read through the confirmation prompt and then click Disable Account to disable the user's account. |