New Years 2006 / 2007

New Years is a time when offices may operate on an unusual schedule or close early. Your call center is here to take your calls at all hours of the day and night and we want to be prepared to give your callers the most accurate information. 

Every year, a few offices forget to inform the call center about last minute or unplanned holiday schedule changes. Please take a moment to complete this form.

Type your answers into the fields below, then click "submit."

As an alternative to this onscreen form, you can download a form that you can print, complete by hand, and fax to us.
             (Download: Microsoft Word | PDF)

PRACTICE INFORMATION
Practice Name:
MediConnect Account Number:
Person Completing This Form:
Title:
Phone:
E-mail:
HOLIDAY SCHEDULE
Instructions: In the box following each date, please type "closed" or indicate the hours during which the office is open. (Example: 11:30 a.m. - 4 pm.)
Monday, January 1 , 2007:
Tuesday, January 2, 2007:
COMMENTS or additional requests:
For additional help, feel free to contact:
Joselyn Torres jtorres@mediconnect.com (773) 628-1446