Services by our Members

Services Offered by our Members

Company Profiles

Submission Form

Please fill out completely.

Contact Information

Name
Title
Company
Address
City
State
Zip
Phone
Email

Type of submission (please choose one):

NEW entry with your company's information (Please fill out entire form)
CHANGE to currently listed information (Entries may be limited to changing fields only)

Please check all the groups below that are relevant to your organization:

HIPAA Focus: Privacy Security Transactions (includes Code Sets and Identifiers)	Target Clients: Employers Hospitals MD's Payors Vendors
Types of Service: Consulting Legal Software Technology Training Other - describe below	Geographic Market (choose one): Massachusetts Northeast USA Worldwide

Please describe 'Other' Type of Services (if applicable):

If you have a HIPAA section on your company's web site, we will be happy to link to it. Please provide the relevant URL:

Brief description of services provided by your company:

Additional Comments:

Once completed, view your organization's information on the Consortium's web site within 10 business days. Thank you for being a valued member of the Massachusetts Health Data Consortium!