VISUALMED CLINICAL SYSTEMS CORP
RW, 2000-11-21
COMPUTER INTEGRATED SYSTEMS DESIGN
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                                November 20, 2000

VIA FACSIMILE AND EDGAR
- -----------------------

Securities and Exchange Commission
Division of Corporate Finance
450 5th Street, N.W.
Washington, D.C. 20549-1004
Attn: Michael Clampitt, Esquire


        CIK: 0000112113
        Commission File No. 333-03627: Application for Withdrawal
        ---------------------------------------------------------

Ladies and Gentlemen:

     Pursuant to Rule 477(a)  promulgated  under the  Securities Act of 1933, as
amended,  the undersigned  registrant (the  "Registrant")  hereby applies for an
Order granting the immediate  withdrawal of its  Registration  Statement on Form
SB-2,  together  with all  exhibits  and  amendments  thereto,  Commission  File
No.333-43658  (collectively,  the  "Registration  Statement").  The Registration
Statement was  originally  filed with the  Commission on August 11, 2000 and was
amended by (a) a filing  pursuant  to Rule 424(a)  made with the  Commission  on
October 30, 2000;

     Accordingly, we hereby request that an Order granting the withdrawal of the
Registration Statement be issued by the Commission as soon as possible.

     If you have any questions regarding the foregoing  application  withdrawal,
please contact

                                       Sincerely,



                                       /s/ Richard LeHir
                                       -----------------
                                           Richard LeHir





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