Purchase Digital Clinic

Thank you for choosing Digital Clinic™ Standard Edition the most comprehensive EMR, Scheduling and Billing system (please note that this module consist of EMR and Scheduling only). Once we received your payment, we will send you the key to activate your Digital Clinic. If you prefer CD, please mention SEND CD in the comments field bellow.

If you do not wish to submit your credit card information via the internet you may print this page and fax it to Medico System , Inc at (413) 556-7689 or download order form.

*Name:**	First Name*	Last Name*
*Company:**
*Address:**
*City:**	*State: Zip:*
Country:
*Specialty:**
*Phone Number:**	(xxx-xxx-xxxx)
*Email address:**
*Number of Providers:**	Physicians and Physician Assistants
Optional- Billing Module:	Include Billing Module (Optional $1500) Only one billing module per clinic is needed. This includes Billing Integration module, one Ezclaim Advanced Billing System license and 6-Months’ unlimited support for Ezclaim Billing System.
Optional- On site support/ Training:	Number of Days for on site support/ Training (Optional $950.00 per day) on-site training and system setup.
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