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MCS Records and Reporting Registration
If you have not yet received your password, please fill out this questionnaire to obtain online status for your requests(Required Fields have an asterisk).
Full Name:*
Firm Name:*  
Address 1:*  
Address 2:
City:*
State:*
Zip:*
Phone:*

Fax:


Select the MCS Office that is closest to you:

Requestor(s)/Attorney(s) you will be viewing status of:*

  
 
If you are an MCS sales person, please type your name here:
 
What type of information is most pertinent to you when checking the status of a request(example patient name, location, claim number, docket number)?
Would you like to communicate exclusively through the website or would you like to receive our hard-copy memos as well?*  
What other items can we include in our "manage your request" section to improve your online experience with us(billing information, autofill request forms)?
Email Address:*
Confirm Email Address:*
 
 

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