Item 2.02 RESULTS OF OPERATIONS AND FINANCIAL CONDITION
On December 15, 2008, Streamline Health Solutions, Inc. ("Streamline Health") issued the press release attached hereto as Exhibit 99.1, which press release contains financial information about Streamline Health's third fiscal quarter and nine months ended October 31, 2008. The information hereunder shall not be deemed to be "filed" for the purposes of Section 18 of the Securities Exchange Act of 1934 (the "Exchange Act") or otherwise subject to the liabilities of that section, nor shall it be incorporated by reference into a filing under the Securities Act of 1933 or the Exchange Act, except as shall be expressly set forth by specific reference in such a filing. Item 9.01 Financial Statements and Exhibits
(c) Exhibits

EXHIBIT NUMBER DESCRIPTION 99.1 News Release of Streamline Health Solutions, Inc. dated December 15, 2008 Third Quarter Earnings News Release

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Signatures Pursuant to the requirements of the Securities Act of 1934, registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

Streamline Health Solutions, Inc.

Date: December 15, 2008 By: /s/ Donald E. Vick, Jr.

Donald E. Vick, Jr.

Interim Chief Financial Officer

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