MCS | A Leader in Medical Informatics
Support
Phone: 732.607.2400
Support Email
Email: info@medcomsys.com
Value Added Reseller (VAR)
  Want to become a Value Added Reseller (VAR) of MCS Products ?
   Please Complete following VAR information request.
First Name* 
Last Name 
Organization   
Address   
City   
State 
Zip 
Telephone 
Fax   
Email 
Who are your current customers?   
Solo physicians

Physician practices (Less than 25 physicians)

Physician practices (25-50 physicians)

Physician practices (50-100 physicians)

Physician practices (More than 100 physicians)
Hospitals (Less than 50 beds)
Hospitals (50-100 beds)
Hospitals (More than 100 beds)
Any Specialties, which you are more    familiar selling to?   

Family Practice

Podiatry

Internal Medicine

Physical Medicine and Rehab

GI

Cardiology

Pulmonary

Dermatology

ENT

Psychiatric

Orthopedic

Ob/Gyn

Surgery

 

Others (Please specify) :

What all you have been selling  
to physician community?   

Practice Management (Specify)

Scheduling (Specify)

EDMS (Specify)

Claims Management (Specify)

Transcription Services (Specify)

Remote Billing Services (Specify)

Office / Medical Supplies (Specify)

What is average annual sales volume  
of your last 3 years sales to physicians?   
How many sales people have   
you been employing?   
How many technical support  
people have you been employing?   

What geographic are as are   
your strong-holds?  

How did you hear about   
Medical Communication Systems?   
Any other comments   
    
 
( * indicates mandatory fields )
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