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Sign Your Service Agreement

for your: Medical Clinic Practice/ Mobile and/or Stationary

Instructions​​​

  1. Review This Agreement

  2. Input your Info Below

  3. Then Submit 

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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

Your Signature indicates that you have read and accept the terms of the above mentioned Contract.

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