Service Request

Do you have a staffing requirement that requires a cost-effective solution customized specifically to meet all your needs?

Please complete the form below to see how UMS can provide customized healthcare solutions customized specifically to meet all your needs.

Service Request

Your Contact Details

Company Name *

Manager *

Email Address *

Phone Number *

Address *

City *

State * AL AK AS AZ AR CA CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MP OH OK OR PW PA PR RI SC SD TN TX UT VT VI VA WA WV WY WI

Zip Code *

Job Details

Type of Service: * Staffing Emergency Medical Service Medical Management Consultant Service

Best Time to Call: Morning Early Afternoon Late Afternoon

Preferred Method of Communication: Phone Email Other