This is a secure file upload that uses HIPAA compliance. All information and files are sent with militay grade 256 bit encryption to an encrypted mail server. No information or documents are kept on server and are deleted once form is complete.
One file only.
2 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.