Online Enquiry

Thank you for your interest in HICAPS.

If you are interested in HICAPS or an existing HICAPS customer, we would be pleased to hear from you.

For more detailed information on HICAPS solutions, please complete the details below and a specialised HICAPS representative will get back to you as soon as possible.

 

Your Details

Provider 1

Provider 2

Provider 3

Provider 4

Your Contact Information

Please include the area code

Please include the area code

Are you purchasing a practice with an existing HICAPS terminal? (optional)

If yes, please provide original owner contact details in additional comments below.

Do you have a Practice Management System? (optional)

If yes, please provide details in additional comments below.

Are you an existing HICAPS customer?

If yes, please provide details in additional comments below.

Your Enquiry
Which of the following HICAPS solutions are you interested in? (optional)

Please select any of the above.

Additional Comments