A practice management consulting and training firm working for and with physicians since 1985

Code-It Order Form for Otolaryngology

Please Provide the Following Information
Product Ordered
 
* Practice
Title
* First Name
Middle Initial
* Last Name
* Address
* Address 1
* City
* State
*Zip
* Work Phone
* FAX
* E-mail
* Required Fields
Pay By Check?
 Yes  Check this box if you plan to send a check by U.S. Mail. We will ship when payment is received. Click the Continue button below to email your order.  
Sign up below to receive our KZAlert - you'll receive FREE bi-monthly practice management tips by email.  (We observe a strict privacy policy). Your email address:

KarenZupko & Associates, Inc. • 625 North Michigan Avenue, Suite 2225 • Chicago, Illinois 60611 • 312.642.5616 • FAX: 312.642.5571

© KarenZupko & Associates, Inc. All rights reserved.