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Thank you for your interest in the services offered by SmartMD

Please note items in bold are required to successfully complete your information request. If you choose to accept our Free Trial Challenge, an additional, more detailed form will be sent to you regarding your transcriptions.

 

 I am interested in:  

 

 Transcription Services   IT and Technical Services  
  Billing Services   Document Digitalization Services  
 
Office Mgr Name:
Phone:
Office Mgr Phone:
Alt Phone:
First Name:
Fax:
Last Name:
 
Credentials:
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Specialty:
 
# of Locations:
Address:
Practice Name:
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  Yes   Yes
Receive Transcriptions via Fax Do you require Stat. reports?
Send me a free digital recorder Do you dictate on weekends?
(requires 2 year service contract)   Fax transcriptions to referring Doctors?

A Smart Medical Practice Services representative will contact you.