November 18, 2019

VIA EDGAR

United States Securities and Exchange Commission

Division of Corporation Finance

100 F. Street, N.E.

Washington, D.C. 20549

Re:                             Streamline Health Solutions, Inc.

Registration Statement on Form S-3

(Registration No. 333-234567)

Ladies and Gentlemen:

In accordance with Rule 461 under the Securities Act of 1933, as amended, the undersigned respectfully requests that the effective date of the above-referenced Registration Statement be accelerated so that the same will become effective at 4:00 p.m. Eastern Time on Wednesday, November 20, 2019, or as soon thereafter as is practicable.

Please contact our counsel, David W. Ghegan, Troutman Sanders LLP, at (404) 885-3139, with any questions or to notify the Company of the effectiveness of the Registration Statement.