Please complete the following

If any additional information is needed, we will contact you to go over any details.
All required sections must be completed. (If any area doesn't apply, please type N/A)

Once form is completed, you will receive a conformation email, followed up with and invoice from PayPal.

Once PayPal invoice is paid, you will receive a secured digital file, by email, to the email address on file with instructions on opening and printing of charts. This allows you to print charts in your office as needed which saves money or upload to an online printing service.

You will be able to print as many 8.5x11 charts in office or a 18x24 poster size for your office wall.
All files come fully customized with your Practice or Doctor’s name, address and contact
information. You will receive an Email-Doc in High Quality PDF Format.

If you would like faster service please direct questions by texting or calling (267) 689-8323 or BagnellSolutions@gmail.com.

Charts are fully referenced.