MedView Paperless Claiming Subscription

MEDVIEW PAPERLESS CLAIMING SUBSCRIPTION

This form is to subscribe to MedView Paperless Claiming

Pharmacy name *

Pharmacy Approval Number *

Primary contact *

Pharmacy address *

Pharmacy Email Address *

Pharmacy phone number *

MedView Paperless is currently available for: Fred Dispense Plus, Fred Dispense, Aquarius Dispense, Minfos, Mountaintop Dispense, Z Software and LOTS Dispense.
Are you using one of these systems? *

Yes *

If yes, would you like to activate MedView Paperless? *

Yes *

Would you like to purchase a scanner? *

Yes - I agree to eRx Script Exchange charging my account $720.00 (inc GST & freight) for the Fujitsu ScanSnap Ix1600 Document Scanner. This will be a once off payment debited or invoiced 30 Days from the order date.
No - Please note: We only provide support for suitable scanners.

I accept the Terms & Conditions of MedView Paperless Claiming ($50 per month on a 12 month contract) on behalf of this Pharmacy *

Yes *

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Terms & Conditions