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  Please tell us about how PCCG can best serve your needs.
Please fill out the form below.
(The more detailed the information the better we can help you).

 
 
Please send me : A Product Information Packet
Product Demo CD
     
Product Contact Methos : Email Phone
     
Product Interest (To select more than one Interest press the ctrl key while choosing)
Product Interest * :
Description of unique and / or specific requirements :
Planned PACS-RIS
purchase / implementation date		 : /
     
Facility / Professional Contact Information
First Name * :
Last Name * :
Email * :
Title/Position * :
    Others
Facility Description :
    Others
Company :
Address * :
City * :
State/Prov * :
Country * :
Zip/Postal Code * :
Phone * :
Fax :
How did you hear of PCCG?
:
     
Facility Modality Information (Please provide if appropriate)
  MRI CT PET US NM CR/RF Others  
# of Modalities  
# of Annual Exams
  
     
Total Facility Annual Exams
:
PACS Desired Non-DICOM Modalities (Please list manufacturer & models)
 :
     
   
     
 
 
     
 
 
PC Consulting Group Inc
Phone: (305) 860-4449 Toll Free: (866) 279-6394 Fax:(305) 418-7433
E-Mail: INFO@PCCGroup.com
 
Copyright © 2004 PCCG Inc. All rights reserved.