For Sales:	For Implementation/Customer Service:
Beth Elgort Email 888-424-2347, ext.11	Sharissa Epps Email 888-424-2347, ext.12

For technical questions about our software or website, please contact:

Chris Schultz Chief Technology Officer Email 888-424-2347, ext. 20

For management or business-related matters, please contact:
Raymond Sturner, M.D. Executive Chairman Email 888-424-2347, ext.30	Barbara Howard, M.D. President Email 888-424-2347, ext.31

Or by mail/fax:

Total Child Health, Inc. 6017 Altamont Place Baltimore, MD 21210 Fax: 530-484-2347

For more information about CHADIS, please enter the following information and submit the form.

How did you hear about CHADIS?
Name
Organization/Practice Name
Address
City
State
Postal Code
Telephone
Email Address
Confirm Email Address
I am interested in: (check all that apply)	Seeing a CHADIS Demonstration CHADIS Pricing and Contracts How to use CHADIS in my Practice Something Else (please specify):