I Have an Attorney

Please use this form to notify us of attorney representation on an account you have in our office.

"*" indicates required fields

Name **

Email*

Reference Number*

Attorney Name*

Attorney Phone Number*

Attorney Email

Firm*

Attorney Address

File

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Accepted file types: pdf, doc, docx, Max. file size: 15 MB.

Please check the box to acknowledge:*

I agree, in order for Balanced Healthcare Receivables LLC to service your account or to collect any amounts you may owe now or in the future, we may contact you by telephone at any telephone number associated with your account, including wireless telephones and time zones associated with this number, which could result in charges to you. We may also contact you by sending text messages, SMS or e-mails, using any e-mail address that you provide to us. Methods of contact may include using pre-recorded/artificial voice messages and/or use of an automatic dialing device (ATDS), as applicable. If you have any questions or would like to talk to a live Collections Specialist, please call 1-866-460-2471 during standard business hours: Monday thru Thursday 8am – 8pm, Friday 8am – 6:30pm, Saturday/Sunday Closed Eastern Standard Time.

Terms & Conditions*

I acknowledge and accept the Terms, Conditions and Policies

This communication is from a debt collector. This is an attempt to collect a debt and any information obtained will be used for that purpose.