Please Read the Terms
and Submit Free Trial
Limited Liability Agreement
This Agreement is confirmation that you may use our data entry Online Verification at no cost for days. This offer is only valid
to licensed medical Providers. These Services utilize an Internet-based System. No installation is required.
Your free trial use of the above referenced Services will automatically expire in
days after your approval. There is no Financial Obligation and no Credit Card required.
You agree that datalink solutions makes no warranties or representations, whether express or implied, including,
without limitation, any implied warranties of merchantability and fitness for a particular purpose with respect
to the above referenced services and/or internet-based system and that in no event will datalink solutions be liable
to you or to any other party for any loss, including time, money,goodwill and consequential damages which may arise
from use of these services and/or system during your free trial use. This offer is subject to approval and may be
revoked without notice.
By completing this enrollment, you are agreeing to the above terms and
conditions for your -day free trial use of our services above specified
and you authorize Datalink to set up an account with our clearinghouse on
your behalf in order to initiate your free trial.
I have read and agree to the above terms. *