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Physician Practice Information Request

Thank you for your interest in MDS Medical's Physician Practice Technology Software and Solutions.

Please complete the information request form to receive an information packet or software demonstration. If you wish to speak with someone today, feel free to call 1-800-494-3188 or drop us a line at info@mdsmed.com.

Company/Practice
First Name
Last Name
Title
Street
City
State	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip/Postal Code
Phone	Ext.
Email
Specialty	Adolescent MedicineAllergy ImmunologyAnesthesiologyAudiologyBilling ServiceCardiologyCardiovascular SurgeryColon and Rectal SurgeryDermatologyENTEndocrinologyFamily PracticeGastroenterologyGeneral PracticeGeneral SurgeryGeriatricsGynecologyHematologyHome HealthHospice CareInternal MedicineInterventional CardiologyMulti-SpecialtyNeonatal MedicineNeonatal-Perinatal MedicineNeonatologyNephrologyNeurologyNeuroradiologyNeurotologyNurse PractictionerObGynOccupational MedicineOncologyOphthalmologyOptometryOral SurgeryOrthopedicsOrthotics/ProstheticsOtolaryngologyOutpatient Surgery CenterPain ManagementPathologyPediatricsPerinatologyPhysical TherapyPlastic SurgeryPodiatryProctologyPsychiatryPsychologyPulmonologyRadiologyRehabilitationRespiratory TherapyRheumatologySleep MedicineSpeech TherapySports MedicineThoracic SurgeryUrgent CareUrology
Number of Providers
Comments or Questions?

Practice Services

EMR Implementation Process Project Management Software Training Options 24/7 Technical Support Software Replacement

Medical Billing

Medical Billing Services Electronic Claims Processing

Hardware & Setup

I.T. Outsourcing Web Software Hosting Client/Server EMR

Web Design

Medical Web Design Free Medical Websites

Quick Info Request

Name

Practice Name

State
Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Virgin Islands Washington West Virginia Wisconsin Wyoming
Number of Providers

Specialty
Select Specialty Allergy and Immunology Billing Service Cardiology Cardiovascular Chiropractic Dermatology ENT Endocrinology Family Practice Gastroenterology General Surgery Gynecology Hand Surgery Internal Medicine Multi-Specialty Nephrology Neurology Neurosurgery ObGyn Ophthalmology Optometry Orthopedics Other/Not Listed Otolaryngology Pain Management Pediatrics Plastic Surgery Pediatric Pulmonology Podiatry Pulmonary Medicine Radiology Rheumatology Surgery Urology
Phone

Email

Information Kit or Demo? Information Kit

Software Demo

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GREENWAY EMR DEMOS

12/19/2011 - Register
1/4/2012 - Register
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1/25/2012 - Register