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Executive Health  


Executives are a critical resource to the financial health of any corporation.  Keeping those executives health is a corporate concern.  Now through VIP Docs Inc., corporations can enhance the health of their company by investing in the health and well-being of its executives.

Executive Plus provides executives a 2 hour consultation with a physician to do a comprehensive and unhurried review of the patient's overall health and well-being paid for by their company.

The cost of this Executive Plus Health Assessment is C$2500.


Executive Health Assessment Summary

Application Form 

This Confidential* Executive Summary application form is essential for the physician to understand your unique medical history and current needs.  Only those who fully complete this form can be considered for consultation.  This application includes a non-refundable fee of C$500 (part of the $2500 total fee).


Patient First Name
 
Patient Last Name
 
Corporation
 
Corporate Address
 
Corporate Area Code & Phone Number
 

Home Address
 

Home Area Code & Phone Number


Age 
 
Sex

Weight (specify lbs. or kgs.)
 
Height (specify feet/inches e.g. 5/10. or cm.)
 
Patient E-mail address 

I am 18 years of age or older
 

I agree to become a Patient of Ontario for the purpose of this or other medical consultations and agree to be bound by the rules and regulations and laws governing this.
 

I have read and agree to the Terms & Conditions found in the Legal section of this website.
 

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VIP Docs Inc. is a subsidiary of the Iasis Corporation

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