Screen4Success Professional Account request form

Important Note: It is critical to think about your organization’s group(s) structure before you request a Screen4Success Professional account. In your agency Users can see Participant data based on the groups they are in; furthermore, data is not transferrable from one organization to another, so it is recommended that you determine who needs access to the data you collect. Consider if anyone at the state level or other leadership level needs access to the data collected. If so, please contact them to determine the best structure for your Screen4Success Group(s). We are happy to help you decide what works best for you! Please contact Screen4Success@seiservices.com for additional support.

Screen4Success Professional is a screening and referral management tool to help concerned prevention specialists and other health professionals quickly and easily identify areas where the people they serve may benefit from more support. A Professional Account in Screen4Success is specifically for professional organizations only. To sign up for a Professional Account, please fill out the information below. You will receive an email from Screen4Success <NoReply@chestnut.org> with a link to create a Professional Account for your organization. If you would like to learn more about a Professional Account, please click here.

If you are an individual and would like to create a Personal Account instead, please click here for more information.