2. Instructions and Reporting Requirements Module 10 Electronic Reporting For Dermatology Physician Practices May 2013 North Carolina Central Cancer Registry State Center for Health Statistics Division of Public Health Department of Health and Human Services 1908 Mail Service Center Raleigh, NC 27699-1908 http://www.schs.state.nc.us/units/ccr / http://www.schs.state.nc.us/units/ccr / North Carolina Central Cancer Registry

3. Part X Contact Information

4. Part X: Contact Information For assistance or questions regarding case eligibility, reporting requirements, data entry, the Eureka system, or the Administrative Reporting Laws, please contact: NC Central Cancer Registry at 919-733-4728. For assistance unlocking a user account, an email requesting the account to be reset must be sent to: EurekaSupport@dhhs.nc.gov. EurekaSupport@dhhs.nc.gov All other support questions should be sent to the Eureka Accounts Representative. For assistance with passwords or to request a new account user id and password, please contact the Eureka Accounts Representative: Nichole Baker, 919-716-0122, Nichole.Baker@dhhs.nc.gov. Nichole.Baker@dhhs.nc.gov.

5. Part X Contact Information Completed