Welcome! As a part of the Kidz Medical Services’ “Commitment to Excellence” we have developed this testimonial submission form just for you. This form will directly contact the Kidz Medical Services representative who is available to quickly respond to your inquiry. Simply click on each line of the form below to enter the information required (these are the areas in gray), and then click “Submit.”

Please remember that this form is only for submitting testimonials for Kidz Medical Services.
For all Billing or Insurance related questions please click HERE to make sure your question is answered as quickly as possible and by the correct department. Thank you, and we look forward to hearing from you!

Your Name (required)

Your Email (required)

Subject

Your Testimonial