MCMS & MedChi are dedicated to serving you and your practice during the COVID-19 pandemic. Please respond to this brief survey with your preferred contact method(s) and how we may best support you during this time.

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* 1. Please provide us with your best contact information below.

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* 2. If your practice manager, or other practice staff, would like to receive updates and information from MCMS, please provide their contact information below:

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* 3. Is your practice open?

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* 4. Is your practice providing telehealth services currently?

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* 5. Would you like your practice included on a referral listing?

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* 6. Please note ways in which MCMS & MedChi can support you, your practice, and patients at this critical time.

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* 7. Thank you for taking the time to respond to this survey, and for your commitment to the health and wellbeing of our community. Anything else we should know?

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