Health Link Jamaica - Step 2 of 4
 
 
Here’s how it works:
1. Review the medical care packages outlined below.
2. Complete the brief registration form providing contact information on yourself and
    the person for whom you are requesting the medical care.
3. Submit the registration form.
4. Choose one of the medical care packages.
4. Submit payment for the package through our Payment Gateway at PayPal.
5. Once payment is received in Jamaica your relative will be able to make an
    appointment to see one of our physicians.
6. If requested we will email you to let you know when requested service is delivered.


However, further information will have to be with the written consent of the patient.
 

Description of packages:
Basic Package:
Check-up includes history, physical examination and diagnosis.
Office urinalysis testing for glucose, protein, blood and other abnormalities.

Cost: US$40

Economy Package:
Check-up includes history, physical examination and diagnosis.
Office urinalysis testing for glucose, protein and other abnormalities.
Laboratory investigations - Fasting Blood Glucose, Cholesterol profile, Urea, Creatinine, Sodium, Potassium, Urinalysis.

Cost: US$90

Advanced Package:
Check-up includes history, physical examination and diagnosis.
Office urinalysis testing for glucose, protein and other abnormalities.
Laboratory investigations: Full executive profile includes comprehensive blood tests and stool and urine analysis.

Cost: US$140


Please Enter the Following Information Carefully

Type your responses in the boxes below or choose from the drop-down options where relevant.  Please Note: All fields are required.  Ensure that the email address supplied is valid/active as this will be used as the primary method for future correspondence.
 


Information on the person requesting the Service

Last Name: First Name: Mid. Initial: Title:
   

       
Occupation:      
       
Address:      
 
       
City:   State/Region/Parish:
   
     
Country:   ZIP/Postal Code:
   
       
Email:      
 
         
Phone: Fax:  
   
       

Information on the person to receive the Service

Last Name: First Name: Mid. Initial: Title:
   

 
       
Occupation:      
       
Address:      
 
       
City:   State/Region/Parish:
   
     
Country:   ZIP/Postal Code:
   
       
Email:      
 
         
Phone: Fax:  
   
       


 
   
 

© 2004 - 2008 Health Plus Associates    All Rights Reserved