Request and Assessment

Welcome to Vantage Health Group Telecommunications Request for Assessment. Please complete this information form and e-mail. One of our Telecommunication specialist will contact you. As an aggregator, HGT is able to save participating members significant dollars each year and has improved service response times using volume discounts on hardware, software and carrier services.
Name
Organization
Street Address
Address (cont.)
City
State
Zip Code
   
Avg. Monthly Bill
Type of Business Health Care Facility
Health Care Professional
Other
Current Local Carrier
Long Distance Carrier
E-mail
   
Comments:
   
 

Information submitted will only be used by Vantage® for your specific inquiry. Information submitted will not be shared outside of Vantage® without your permission. Vantage® does not rent, sell or lease customer information to third parties.