Contact Us

To find out more…
If you would like to find out more about ClaimTrak Systems, Inc. and the products and services we offer, please call 602.622.0207 or email us at info@claimtrak.com.

We would happy to contact you personally as well as provide you with an online demo.  Please fill out the form below to get started:

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*First Name:
*Last Name:
Title:
*Organization:
Address:
City:
*State:
Zip:
Phone:
*Email Address:
Which ClaimTrak products are you most interested in (please check all that apply)?
	Clinical (Electronic Charting) Billing Scheduling Reporting Electronic Document Scanning / Bar Code Technology Medication Management Residential Services Component Human Resources All of the above
Will you be issuing an RFP? Yes No
How many full-time employees does your organization have?	Please Choose 1 - 50 51 – 100 101 – 200 201 – 300 301 – 500 501 – 800 801 – 1000 1,000+
How many physical locations does your organization have?
Does your organization currently use an Electronic Health Record (EHR)?	Yes No If yes, please specify
How did you hear about us?	Please Choose Current Customer Magazine Website (Google, Yahoo) Trade Show / Conference Other
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