VIP Document Intake Form

Hospital, Government & Non-Profit Authorization Form

We obligate ourselves to move your order to the front of our que if you represent a government agency or medical facility. Please upload your documentation and we will expedite your order.

Document Intake Form

  • We cannot receive data about a buyer without the buyer knowing. We will therefore send this completed form to the buyer notifying them that their information was submitted to The Heard Group LLC
  • We will send a confirmation email for you to verify
  • Drop files here or
    Max. file size: 256 MB.
    • Max. file size: 256 MB.