Name:
Title:
Facility:
Address:
City:
State:
Postal Code:
Phone:
Fax:
Email:

HOSPITAL
CLINIC
Number of Beds:
Specialty:
Number of Admits:
Number of Physicians:

RELEASE OF INFORMATION:

How many record request do you receive each week?

What method do you use to provide this function:

In-house (your staff provides this function)

Outsourcing, If so who?

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Why partner with MedSouth?

Whatever the reason, give us a call, email, snail mail or fax.

PHONE | 888-219-3360
EMAIL | info@medsouthrecord.com
FAX | 888-219-3361

#4 Sanctuary Boulevard
Suite 101
Mandeville, Louisiana 70471