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Corridor Answering Service
Confidential Information Form
Please complete the form below, then click "submit." Your form will then be sent directly to our operations manager and your account will be set up.

Account Start Date:
Practice / Business Name:
Specialty:
How should we answer your line (script):
Company Address:
City:
State:
Zip:
Fax Number:
Auto Fax:
Telephone Number:
Office Manager Name:
Residence #:
Cell# / Carrier (Sprint Verizon etc):
Pager# / Carrier (Sprint Verizon etc)::
Other Important Information:
Including Covering Physician:
Take and Refer Information:
Office Hours Mon-Fri and Sat-Sun:
Relay Messages During Hours / After Hours:
Security code:
 *
Do not enter anything in this field:

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Online Appointment Demo

Corridor Medical Answering Service
3088 Route 27 Suite 7
Kendall Park, New Jersey 08824
866-447-5154
reece.bigger@corridoranswering.net

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