Medical Accounts Receivable Application

Please fill out the online application below. If you prefer a hard copy, please email us at info@goldenfinsolutions.com or call us at (949) 329-3696 . Thank you.

1GENERAL INFORMATION
2LIST OF PRINCIPALS / SHAREHOLDERS IN COMPANY
3OPPORTUNITY INFORMATION
4SERVICING REVIEW
5LEGAL REVIEW HAS THE COMPANY OR ANY OF ITS PRINCIPALS:

GENERAL INFORMATION