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Reason for Contacting Us:
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Error or Problem
I am receiving an error page or have a problem entering, viewing, changing or deleting data.
Question
I have a question about how to use the site or a particular feature of the site.
Suggestion
I have a suggestion for a new feature or enhancement to an existing feature.
Sending Data
I need to or have been requested to send patient, practice or payment information.
Uploading Data
I need to or have been requested to upload a file, such as a spreadsheet, containing patient information.
Other
I am contacting support for another reason. (Please describe in detail below.)


Your Name:
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Your Question/Problem:
Additional Details:
Please provide as many specific details to help us resolve any problem, error or question about the site, including...
  • What data you were specifically working on.
  • What page you were on.
  • What data you entered.
  • What button or link you clicked.
  • What error message was displayed.
Upload a File:
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Click to Select a File
You may upload a file to accompany this request, such as a screen shot, spreadsheet or other file.

BEFORE YOU CLICK SUBMIT:
If you are using this form to send HIPAA-sensitive information, such as patient identifying information, check this box to ensure that no data is sent via email or other insecure communication methods.