top of page
Send Us An Email: info@txrlc.com
Call Us Today! 1-800-962-4961
Sign Your Service Agreement
for your: Medical Clinic Practice/ Mobile and/or Stationary
Instructions
-
Review This Agreement
-
Input your Info Below
-
Then Submit
The Process will require a number of documents. However, there will be plenty of time to get it. If you don't have something we will help you to obtain or provide it. Texas TMB, TMHP and CMS will be working very close with our agency to assure compliance.
To Start, Review This Service Agreement and Acknowledge Acceptance with the Terms Below
bottom of page