The healthcare industry is poised to make major changes in its implementation and use of information technology. Physicians in small practices will fall behind if there are no provisions to integrate them fully in the change process. This paper outlines the state of medical care as provided by the smaller physician’s office and the state of information technology in healthcare. It also outlines a business proposal for the establishment of a company whose vision is to help small medical offices cross the technological divide. It also describes an office assessment toll:MedicAssess.