Flexible Financial

Account Placement

You may retain our services and place accounts with us whenever you deem necessary. We make sure the procedures for transferring information are easy and secure. Electronic Account Transfers can be made in either Excel or ASCII format. Let us know how you maintain your files. We can accommodate most every situation.

Place accounts online using the form below.
Click here for a printable form*. Fax it to us at (570)307-2275, along with any supporting documents.
Call 877-334-FLEX for a customized file transfer solution to fit your needs.

*Requires Adobe® Acrobat Reader

*Your info…*
Name
Company/Organization
Contact
Address
Address 2
City
State/Province
Country
Zip/Postal Code
Phone
Email
*Debtors info…*
Name
Address
Address 2
City
State/Province
Zip/Postal Code
Phone
Date of Birth	// Ex: 01/01/2001
SSN	--
Insurance Information
Sale/Service Provided
Last date of Service
Invoice Number
Date of Last Payment
Outstanding Balance
Comments - Please forward any activity and/or information already established.

Professional Affiliations

1-877-334-FLEX (3539)

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