We are upgrading our billing systems to serve you more efficiently. Geriatric Medical now delivers invoices (bills) to our customers via fax and email.

By utilizing state-of-the-art technology:

• Invoices will be received real time, insuring your records are up-to-date.
• By utilizing email invoices, documents can be forwarded easily to the right department immediately.
• Reducing the use of paper is doing our small part to improve the environment.

Please complete and submit the below form to let us know which method of delivery you would prefer.

Thank you for your submission.

All fields are required

Facility Name
Contact Name
Phone Number
Fax Number
Email Address (that will receive the communications)
Preferred Method of Communication	Email Fax