Request Information

Fill out the form below, and we’ll be glad to get back with you as quickly as possible. We are excited that you are interested in how Medac can help your practice grow to new heights. If you should have any questions at any time, please do not hesitate to get in touch with us.

Your Name (required)

Your Email (required)

Hospital

City, State

Phone

How should we contact you?
 Telephone Email

Position
 Head of Group Group Member/Partner Practice Manager/Admin Other

Additional Information

Current Billing
 Outsourced In House

When would you like to be contacted?

Monthly Cases
 100-300 301-500 501-800 801-1000 1000+

Number of Providers
 1-3 4-6 7-10 11-20 21-35 36+

Attach an RFP