Hero Dispatch - Client Registration (Transfer)

Rosebud Productions Inc. | Hero Dispatch
Website: herodispatch.com
Secure ePortal Fax Line: +1 833-392-1180
Phone Support: +1 778-653-7086
Email Support: hello@herodispatch.com

Instructions:
Complete this form then have your practitioner or existing medical provider fax your original copy Medical Document to +1 833-392-1180.

Legal First Name
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Please do not use short forms as this may result in processing delays
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