IMPAC Medical Systems, Inc.: Fourth Quarter & Fiscal Year-End 2003 Earnings Conference Call.

Business Editors

MOUNTAIN VIEW, Calif.--(BUSINESS WIRE)--Oct. 3, 2003

IMPAC Medical Systems, Inc. (NASDAQ: IMPC), a leading supplier of healthcare IT solutions for oncology and related specialties, will hold a conference call on Friday, October 31, 2003, at 7:00 AM (PT) to discuss

Individuals are invited to listen to the call by dialing 1-800-901-5231. International callers can dial 1-617- 786-2961. The PIN number, 56176184, is the same for both domestic and international participants. The conference call can also be accessed live over the Internet through the IMPAC website, www.impac.com. Please go to the website at least 15 minutes early to register, download and install any necessary audio software. A replay on the Company website will be available for two weeks after the original broadcast.

About IMPAC Medical Systems

IMPAC Medical Systems, Inc. is a leading provider of specialized IT solutions that streamline both clinical and business operations to help improve the process of delivering quality patient care. With open integration to multiple healthcare data and imaging systems, IMPAC offers a comprehensive IT solution that includes specialized electronic charting, full-featured practice management, clinical laboratory management, and outcomes reporting. Supporting over 1500 installations worldwide, IMPAC delivers practical solutions that deliver better overall communication, process efficiency and quality patient care. For more information about IMPAC Medical Systems' products and services, please call 650-623-8800 or visit www.impac.com.