V30 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 v30 *

Single user platform Multi user platform SaaS Hosted platform I can access from anywhere 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 Server for CGM MEDISOFT Patient Engagement software

Check all that apply

What version of Medisoft are you using? *

v29 CGM MEDISOFT (Supported version) v28 CGM MEDISOFT (Soon to be Non supported) CGM MEDISOFT v27 or older (Non supported version) 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 *

Submit

Medisoft v30 is now available. For more information and price quote call 800-592-9826, email [email protected] or complete the v30 request form. Thanks we look forward to working with you!

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