Please select the services that interest you. Receivables Management    Bus. Office Contract Management    Collection Outsourcing    Billing Outsourcing    Clean Up Projects     Consulting    Business Office Assessments   Due Diligence    Training   Onsite A.R. Specialists    Interim Management   CBO Consolidation Assessment     Alliances     Charity Screening   Electronic Claim Submission   Patient ID/Financial Information   Patient Statements     Other   Other       For more information about D-MED please complete and submit this form.            Name Address City State Zip Phone Email Comments          You can also: Call us Locally: 972-733-6900 Call Toll Free: 800-695-2404 Fax us: 972-733-6901 Email us: info@d-medcorp.com Write us: D-MED Corporation 5151 Belt Line Road Suite 1125 Dallas, Texas 75254

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