V29 Request Form

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Request/Contact Form

Please complete this request form and CompuHealth NW will reach out to you to discuss your needs and options. There is no purchase obligation, however we hope to earn your trust and business, and thank you for your consideration. We look forward to working with you soon.

* Indicates required field

Contact Name *

First

Last

Practice Name *

Email *

Phone Number *

Time Zone *

I am interested in Medisoft v29 Pre-Release Sale *

with Free v28 now until v29 is released Hosted platform I can access from anywhere Multi user platform Single user platform Billing Service platform

Check all that apply

Are you interested in *

eMEDIX Clearinghouse Services Statement services with free training EMR/EHR that integrates with CGM MEDISOFT Hosting/Cloud access to CGM MEDISOFT CGM MEDISOFT v29 Pre-Sale Purchase

Check all that apply

What version of Medisoft are you using? *

v27 CGM MEDISOFT v26 CGM MEDISOFT CGM MEDISOFT v25 or older Not using CGM MEDISOFT/ I don't know

Please let us know a good day and time to reach you, thanks! *

We will reach out to you by email and by phone

Comments or Questions? *

CompuHealth respects your privacy. Your information is confidential. We will not share or sell your information. You may opt out at any time.

I agree to receiving marketing and promotional materials *

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CompuHealth Northwest Inc. (360) 592-0926 Bellingham, WA