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Use the form below to let us analyze your existing billing set up and our representative will contact you about how we are able to improve your 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&S  Medical Billing Services, Inc.
27132-B Paseo Espada Suite 1223- San Juan Capistrano, CA 92675
Tel : (949) 495-1416 - Fax: (949) 388-3336

Copyright 2001 D and S Medical Billing. Designed by ebusinesstore.com