Med League Support Services || v2.1

With our streamlined account set-up process you're just clicks away from the most effective online record retrieval experience possible. You can order, track and review any medical records from anywhere in the world. Complete this sign up form, add additional users and you will be online ready to order. Your billing contact and the additional users you sign up will be sent an email inviting them to create usernames and passwords. As an account administrator, you will have access to all users for future access management.

Firm Name

Firm Address

Firm Alt Address

Firm Phone

Firm Fax

Billing Contact

Billing Address

Same as Firm Address

Billing Address

Primary User

Same as Billing Contact

Password

Sign Up

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