D And S Medical Billing

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D and S Medical Billing


		Use the form below to let us analyze your existing billing set up and our representative will contact you with the information about how we can improve your billing management and cash flow!


	Provider/Group Name:
	Provider/Group Specialty:
	Your Name:
	Title or Position:
	Address:

	City:
	State:
	Zip Code:
	Phone:
	Fax:
	E-mail:
	Are You Currently Doing Your Own Billing?
	If so, are you computerized?
	Do you currently have a billing service?
	Are you satisfied with their service?
	Are your patients satisfied with their service?
	Would you like to meet with us to discuss your needs or do you prefer a telephone call?
	How did you hear about us?
	Specific Questions, Comments:

D And S Med Billing P

D & S Medical Billing Services, Inc.
27136-A Paseo Espada Suite 124- San Juan Capistrano, CA 92675
Tel : (949) 495-1416 - Fax: (949) 388-3336