Amendment to Billing Services Agreement Between American Surgical Assistants, Inc. and Med-Pro, Inc.

Amendment to Billing Services Agreement

Between American Surgical Assistants, Inc. and Med-Pro, Inc.

Effective November l, 2007 the following billing procedures are added to the procedures performed by Med-Pro and its employees:

1. Filing and sorting of response to initial claims.

2. Filing and response to initial E.O.B.'s .

3.     Sorting and permanent filing of closed claims.

For the performance of additional procedures Med-Pro shall be entitled to a monthly compensation of $6,000,00 in addition to the fee included in the original agreement.

Med-Pro	ASA, Inc.
/s/	/s/ XXX X. XXXXXXX

11/1/07