What type of a medical practice do you operate?
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--- Select One ---
General Practicioner
Specialist
Hospital System
Dental
Psychiatrist/Psychologist
Chiropractor
What is your average monthly billing?
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--- Select One ---
$0-24,999
$25,000-99,999
$100,000 +
Do you currently outsource billing?
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--- Select One ---
Yes
No
Please explain why you wish to outsource your billing and other requirements you have: