High Priority Request Form
The High Priority Request Form allows users to contact the Customer Success team by providing required personal and company information, selecting a subject from specified categories including Technical Support, and submitting a message, with an option to call the corporate office directly for immediate assistance.
You may call our Corporate office for a live response at 215.860.2928. Otherwise, please complete the priority request form below, which will be sent to our Customer Success team immediately.
Technical Support Requests: Please call 215.860.2928 or visit www.centrak.com/support for more options.
Priority Request Form Fields:
- First Name (required)
- Last Name (required)
- Email (required)
- Phone Number (required)
- Company Name (required)
- If part of a healthcare network, please also include the facility name
- Subject (required)
- Options: Accounting/Billing, PO Status, Sales, Technical Support, Other
- Message
Submit
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