PCS: Priority Care Solutions, Inc.

PRODUCTS & SERVICES

Request A Quote

Priority Care Solutions' electronic quote process allows the user to inquire about the prices of all ancillary services we offer. All price quotes will be given within four business hours of the initial request during regular business hours. Please allow 24-48 hours if it is a custom item. Please make sure that all fields marked with an * are completed to ensure we provide the best quote for your needs.

Priority Care Solutions Sales Quote Form

Requestor
*First Name	A value is required.
*Last Name	A value is required.
*Phone	A value is required.
*Email Address	A value is required.Invalid format.

*Payer	A value is required.
*Billing Address	A value is required.
*Injured Worker's State	Please select an item.
*Injured Worker's Name	A value is required.
*Injured Worker's Zip Code	A value is required.
*Item Name or Description	A value is required.
HCPCS Code
CPT Code
*Is this your first time using Priority Care Solutions? Yes No Please make a selection.
Additional Information

Contact us at 866.932.5779 to schedule any of our services or request additional information.