HICAPS - Register Your Interest
Please populate the required fields below. Once complete the HICAPS Team will review responses and contact you via your requested method.
Contact Information
Practice Name
Title
Surname
Given Name/s
Occupation
Please select...
Practitioner
Practice Manager
Practice Owner
Other
Do you have HICAPS in your practice?
Yes
No
I am interested in
Please select...
Claiming Solution
PMS Integrations
Payroll Solutions
Do you have a PMS in your practice?
Yes
No
What Practice Management Software
(PMS)
do you currently use?
Please select...
Best Practice
Medical Director by Pracsoft
Other
I would like to learn more about HICAPS
claiming solutions/ PMS integrations/ Payroll Solutions
Yes
No
Number of practitioners in practice
Number of sites
I'm ready to improve my claiming solution
Please select...
Now
3 Months
6 Months
When PMS integrations have been implemented
Please keep my informed
Yes
No
Phone
Email
Preferred contact method
Please select...
Telephone
Email
Preferred contact date
Preferred contact time
Further enquiry information
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