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Folio Direct Mail and Analytical Report Services

REQUEST FOR QUOTE FOR PROVIDER OR HEALTHCARE FACILITY RECORDS: To submit this request, please fill out this form and click on the submit button below or call your request in to us.

Phone: 1-800-223-2233
Fax: 1-508-862-8210
E-Mail: customerservice@foliomed.com

QUOTE FORM

TYPICAL CRITERIA
Geography: Zip Code, Town, State, Custom Region
Specialty: Family Medicine, Internal Medicine, Oncology, etc.
Practice Setting: All, Group, Hospital setting, Solo Practice, etc.
Other: Year of Graduation, Medical School, Foreign Language
Special Notes: Sort Order (by Zip Code, Last Name, etc), Delivery Preference, etc.
 
Geography:
Specilaties:
Practice Types:
Other:
Special Notes:
   
Contact Information
Contact Name: Phone:
Company: Fax:
Street: E-mail:
Town, State:    
Zip Code:    
       

 

 
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