EXHIBIT 3.1



             CERTIFICATE OF AMENDMENT OF THE CERTIFICATE OF INCORPORATION
                                          OF
                          INTEGRATED PHYSICIAN SYSTEMS, INC.

                Adopted in accordance with the provisions of Section 242
                of the General Corporation Law of the State of Delaware

     It is hereby certified that:

     1. The name of the corporation (hereinafter called the 
"Corporation") is Integrated Physician Systems, Inc.

     2. The Corporation was incorporated on April 25, 1995.

     3. The Certificate of Incorporation is hereby amended by deleting 
Article THIRD thereof and by substituting in lieu of said Article THIRD the 
following:

        "THIRD:  The purpose of the corporation is to engage in any 
        lawful act or activity for which corporations may be organized 
        under the General Corporation Law of the State of Delaware."

     4. This amendment was authorized by written consent of the 
Directors and by written consents of the holders of a majority of the 
outstanding shares of Common Stock which consents were executed as of April 
24, 1996. A written notice of action was provided to each stockholder who did 
not consent to this Certificate of Amendment pursuant to Section 228 of the 
General Corporation Law of the State of Delaware.

     IN WITNESS WHEREOF, I have subscribed this document on the date set 
forth below and do hereby affirm, under the penalties of perjury, that the 
statements contained herein have been examined by me and are true and correct.

Dated as of April 25, 1996.

                                       INTEGRATED PHYSICIAN SYSTEMS, INC.


                                       /s/ Joseph F. Murray
                                       ----------------------------------
                                        Joseph F. Murray
                                        Secretary





                             CERTIFICATE OF INCORPORATION

                                         OF

                           INTEGRATED PHYSICIAN SYSTEMS, INC.

    The undersigned, a natural person, for the purpose of organizing a 
corporation for conducting the business and promoting the purposes 
hereinafter stated, under the provisions and subject to the requirements of 
the laws of the State of Delaware (particularly Chapter 1, Title 8 of the 
Delaware Code and the acts amendatory thereof and supplemental thereto, and 
known, identified, and referred to as the "General Corporation Law of the 
State of Delaware"), hereby certifies that:

    FIRST: The name of the corporation (hereinafter called "corporation") is 
INTEGRATED PHYSICIAN SYSTEMS, INC.

    SECOND: The address, including street, number, city, and county of the 
registered office of the corporation in the State of Delaware is Corporation 
Trust Center, 1209 Orange Street, Wilmington, Delaware 19801 and the name of 
the registered agent of the corporation in the State of Delaware at such 
address is The Corporation Trust Company.

    THIRD: The purpose of the corporation is to enter into a loan transaction 
with Forrest Financial Corporation and a Securities Pledge Agreement; to 
issue and repay a note with Forrest Financial Corporation; to acquire and 
pledge the collateral and acquire an investment agreement to secure and repay 
the note; to engage in any acts and transactions incidental or otherwise 
related to the entry into the Securities Pledge Agreement, the issuance and 
repayment of the note or the acquisition of the collateral and investment 
agreement, and to do all other acts required by law or required or permitted 
by the note or the Securities Pledge Agreement; and to engage in any act, 
have any power, enter into any contract, and own any property allowed by law 
as necessary or incidental to any of the foregoing.

    FOURTH: The total number of shares of stock which the corporation shall 
have authority to issue One Thousand (1000). The par value of each such share 
is One Cent ($.01). All such shares are of one class and are shares of Common 
Stock.



    FIFTH: The name and the mailing address of the incorporator are as 
follows:

          NAME                                MAILING ADDRESS
          ----                                ---------------

          Michael Zelinsky                    Clark, Ladner, Fortenbaugh
                                                 & Young
                                              One Commerce Square
                                              22nd Floor
                                              2005 Market Street
                                              Philadelphia, PA 19103

    SIXTH: The corporation is to have perpetual existence.

    SEVENTH: Whenever a compromise or arrangement is proposed between this 
corporation and its creditors or any class of them and/or between this 
corporation and its stockholders or any class of them, any court of equitable 
jurisdiction within the State of Delaware may, on the application in a 
summary way of this corporation or of any creditor or stockholder thereof or 
on the application of any receiver or receivers appointed for this 
corporation under the provisions of Section 291 of Title 8 of the Delaware 
Code or on the application of trustees in dissolution or of any receiver or 
receivers appointed for this corporation under the provisions of Section 279 
of Title 8 of the Delaware Code order a meeting of the creditors or class of 
creditors, and/or of the stockholders or class of stockholders of this 
corporation, as the case may be, to be summoned in such manner as the said 
court directs.  If a majority in number representing three fourths in value 
of the creditors or class of creditors, and/or of the stockholders or class 
of stockholders of this corporation, as the case may be, agree to any 
compromise or arrangement and to any reorganization of this corporation as 
consequence of such compromise or arrangement, the said compromise or 
arrangement and the said reorganization shall, if sanctioned by the court to 
which the said application has been made, be binding on all the creditors or 
class of creditors,and/or on all the stockholders or class of stockholders, of 
this corporation, as the case may be, and also on this corporation.

    EIGHTH: For the management of the business and for the conduct of the 
affairs of the corporation, and in further definition, limitation, and 
regulation of the powers of the corporation and of its directors and of its 
stockholders or any class thereof, as the case may be, it is further provided:

    1. The management of the business and the conduct of the affairs of the 
       corporation shall be vested in its Board of Directors.  The number of 
       directors which shall constitute the whole Board of Directors




       shall be fixed by, or in the manner provided in, the Bylaws. The 
       phrase "whole Board" and the phrase "total number of directors" shall 
       be deemed to have the same meaning, to wit, the total number of 
       directors which the corporation would have if there were not 
       vacancies. No election of directors need be by written ballot.

    2. After the original or other Bylaws of the corporation have been 
       adopted, amended, or repealed, as the case may be, in accordance with 
       the provisions of Section 109 of the General Corporation Law of the 
       State of Delaware, and, after the corporation has received any payment 
       for any of its stock, the power to adopt, amend, or repeal the Bylaws 
       of the corporation may be exercised by the Board of Directors of the 
       corporation, provided, however, that any provision for the 
       classification of directors of the corporation for staggered terms 
       pursuant to the provisions of subsection (d) of Section 141 of the 
       General Corporation Law of the State of Delaware shall be set forth in 
       an initial Bylaw or in a Bylaw adopted by the stockholders entitled to 
       vote for the corporation unless provisions for such classification 
       shall be set forth in this certificate of incorporation.

    3. When ever the corporation shall be authorized to issue only one class of
       stock, each outstanding shall entitle the holder thereof to notice of, 
       and the right to vote at, any meeting of stockholders. Whenever the 
       corporation shall be authorized to issue more than one class of stock, 
       no outstanding share of any class of stock which is denied voting 
       power under the provisions of the certificate of incorporation shall 
       entitle the holder thereof to the right to vote at any meeting of 
       stockholders except as the provisions of paragraph (2) of subsection 
       (b) of Section 242 of the General Corporation Law of the State of 
       Delaware shall otherwise require; provided, that no share of any such 
       class which is otherwise denied voting power shall entitle the holder 
       thereof to vote upon the increase or decrease in the number of 
       authorized shares of said class.

    NINTH: The personal liability of the directors of the corporation is 
hereby eliminated to the fullest extent permitted by the provisions of 
paragraph (7) of subsection (b) of Section 102 of the General Corporation Law 
of the State of Delaware, as the same




may be amended and supplemented.

    TENTH: The corporation shall, to the fullest extent permitted by the 
provisions of Section 145 of the General Corporation Law of the State of 
Delaware, as the same may be amended and supplemented, indemnify any and all 
persons whom it shall have power to indemnify under said section from and 
against any and all of the expenses, liabilities, or other matters referred 
to in or covered by said section, and the indemnification provided for herein 
shall not be deemed exclusive or any  other rights to which those indemnified 
may be entitled under any Bylaw, agreement, vote of stockholders or 
disinterested directors or otherwise, both as to action in his official 
capacity and as to action in another capacity while holding such office, and 
shall continue as to a person who has ceased to be a director, officer, 
employee, or agent and shall inure to the benefit of the heirs, executors, 
and administrators of such a person.

    ELEVENTH: From time to time any of the provisions of this certificate of 
incorporation may be amended, altered, or repealed, and other provisions 
authorized by the laws of the State of Delaware at the time in force may be 
added or inserted in the manner and at the time prescribed by said laws, and 
all rights at any time conferred upon the stockholders of the corporation by 
this certificate of incorporation are granted subject to the provisions of 
this Article ELEVENTH.

Signed on April 25, 1995

                                                     /s/ Michael A. Zelinsky
                                                     ------------------------
                                                           Incorporator



                          CERTIFICATE OF AMENDMENT

                    OF THE CERTIFICATE OF INCORPORATION

                   OF INTEGRATED PHYSICIAN SYSTEMS, INC.

            Adopted in accordance with the provisions of Section 242
             of the General Corporation law of the State of Delaware


    It is hereby certified that:

    1. The name of the corporation (hereinafter called the "Corporation") is 
Integrated Physician Systems, Inc.

    2. The Corporation was incorporated on April 25, 1995.

    3. The Certificate of Incorporation is hereby amended by deleting Article 
FOURTH thereof and by substituting in lieu of said Article FOURTH, the 
following:

       "FOURTH:

           A. The aggregate number of shares which the Corporation shall have 
              authority to issue is fifty-one million (51,000,000) shares, of 
              which one million (1,000,000) shares shall be designated 
              'Preferred Shares' and of which fifty million (50,000,000) 
              shares shall be designated 'Common Shares.'  All shares of the 
              Corporation shall be of the par value of $.01 per share.

           B.  Authority is hereby expressly granted to the Board of 
              Directors of the Corporation (or a committee thereof designated 
              by the Board of Directors pursuant to the by-laws of the 
              Corporation, as from time to time amended (the "By-laws")) to 
              issue Preferred Shares from time to time as Preferred Shares of 
              any series and to declare and pay dividends thereon in accordance
              with the terms thereof and, in connection with the creation of 
              each such series, to fix by the resolution or resolutions 
              providing for the issue of shares thereof, the number of shares 
              of such series, and the designations, powers, preferences, and 
              rights (including voting rights), and the qualifications, 
              limitations, and restrictions of such series, to the full extent
              now or hereafter permitted by the laws of the State of Delaware."

    4. The Certificate of Incorporation is hereby amended by adding as a new 
Article TWELVE:

       "TWELVE:  At 5:00 P.M., Eastern Standard Time, on April 24, 1996, (i) 
       each of the one thousand (1,000) outstanding shares of the Common 
       Stock of the Corporation held by each holder of record on such date 
       shall be automatically changed from one (1) shares of Common Stock to 
       three thousand (3,000) shares of




       Common Stock. No fractional shares will be issued - a fractional 
       share, based on all the shares of Common Stock held by the record 
       holder of such shares, of four-tenths of one share or more shall be 
       increased to the next higher whole number share, and a fractional 
       share of less than four-tenths of one share shall be disregarded."

    5. These amendments were authorized by written consent of the Directors 
and by written consent of the holders of a majority of the outstanding shares 
of Common Stock which consents were executed on April 24, 1996.  A written 
notice of action was provided to each stockholder who did not consent to this 
Certificate of Amendment in pursuance of Section 228 of the General 
Corporation law of the State of Delaware.

     IN WITNESS WHEREOF, I have subscribed this document on the date set 
forth below and do hereby affirm, under the penalties of perjury, that the 
statements contained herein have been examined by me and are true and correct.

Dated as of April 25, 1996.
                                        /s/ Joseph F. Murray
                                        -----------------------------
                                        Joseph F. Murray
                                        Secretary