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Register your practice today!
Have the advantage of referring patients to a medical finance specialist

Register by phone:
416-593-1633 or
1-800-270-9290
Register by fax:
416-593-1685 or
1-800-274-1471
Register online.

Service Provider Registration Form

Practice Name:
Contact Person
Services Provided*
Street Address*
Address Cont.
City*
Province*
Postal Code
Business Phone
Fax Number
E-mail*
Website URL
Additional Comments
or Questions.
Please forward an information package to the above address.
 
 
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