Thank you for requesting information from CustomEHR. This is a good way to ask for username and password access if you would like to be given "Demo" access to CustomEHR. (This is available to any physician, physician's office personnel or hospital personnel.) After entering in your contact information and your request, please also enter the verification words, then click the "SUBMIT REQUEST" button.

(Note: if you are a registered user of CustomEHR, the system will fill in all your personal data for you if you login first.)

Thank you very much for your interest!

Steven P. Kanig, MD
Presicdent and Developer