How To Place Your
Send your accounts to us by
fax, mail or online by clicking on the appropriate
When forwarding your accounts please include the
Copy of the original invoice
Supporting documentation- i.e... Proof of delivery,
signed contract etc…
Debtors name, addresses, phone numbers, social security
Description of services rendered.
Copy of debtors prior payment checks.
Your submission of this form via our
website authorizes us to begin immediate recovery procedures against said
debtor. Please send additional requested information via fax to 718-761-1309.
Consumer Collection Form
Medical / Dental
If you do not have electronic copies of this information,
please fax them to us at 718-761-1309 Thank You.
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Mathews, Nichols & Associates LLC,