Received provider data record form via email from Susdey. Documents completed and sent by fax to 817-633-5729. Attachments uploaded and placed on the server.Below is the reference email. -------------- Susdey Sud Attachments Tue, Sep 1, 3:40 PM (17 hours ago) to hhuc@claimsmedinc.com  Hello,  We have received application for the following provider:  Erline R. Terrelonge   We need the contract to be signed as well and please see the attachment.    Thank you, Susdey Sud Director, Network Operations Office Phone: (800) 975-3322 Office Fax: (817) 633-5729 ------------------------------ Greetings Susdey,  Kindly find the attached signed contract as requested.  Do feel free to contact me for any additional information if required. Regards:  Sherry Deen | Claims Med | Office: 713.893.6214 Ext: 405 | Fax: 718-640-2713 | sd@claimsmedinc.com 