Partner with us Now

What’s Important to You… Is What Matters to Us

If you are seeking a true partner for your Emergency and/or Hospitalist Medicine program, Hospital Physician Partners would like the opportunity to speak with you.

Please complete the information contained in the form below and a member of our Business Development team will respond to your request within 1-2 business days. Thank you for your inquiry and we look forward to speaking with you soon.

Fields marked with an (*) are required


Name *
Title *
Hospital Name *
Address
City
State
Zip Code
Email *
Phone *
Message
Please Send Me Information About the Following Service Lines (Check all that apply)	Emergency Medicine Hospitalist Medicine
How is your ED currently managed?	National outsource company Local outsource group Internally
When does your current contract expire?	Within 6 months Within 12 months Within 18 months or more Does not apply
Do you currently have a hospitalist program that meets or exceeds your desired goals?
What Is Your ED Volume?	Under 15,000 15,000-25,000 25,000-35,000 Over 35,000
Contact me by	Phone Best time to reach me Email Mail Fax
How Did You Hear About Us?	Received information in the mail Referred by a colleague Saw your ad in a trade publication Read an article about you in a journal or online Source: Internet Search I have worked with you before