INTAKE

To maintain absolute federal data privacy compliance under our HIPAA guidelines, we do not store patient health files or authorization documents on our public web server. No upfront payment or patient information is required at this stage.
 
Submit Firm Details: Fill out your basic contact and firm information below and click submit.
 
Secure Email Verification: We will simultaneously email you to execute our standard Business Associate Agreement (BAA) and collect your signed HIPAA authorization forms directly via E-mail or Fax.
 
Note: Your firm will be fully cleared to submit patient authorizations and record requests the moment your signed BAA is received via email.

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