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About Us

Welcome to our International Medical Coordination Services company, limited liability company it is registered and licensed in USA. We are honored to introduce our international medical coordination services.

Contact Info

Florida: 122 Belles Chase Ct, Saint Augustine, Florida USA 32086
Virginia: 9495 Fairfax Blvd, Apt 203, Fairfax, Virginia USA 22031
USA: +1 904-293-9309
USA: +1 904-377-4889
[email protected]
Week Days: 09.00 to 18.00 Sunday: Closed

Patient Form

Patient Form

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Patient Form

Patient Details

Patient Name *
Father's Name *
Mother's Name *
Nationality *
Date of Birth *
Patient Phone Number *
Patient Email *
Patient Address *
Diagnose
Explain your aim from this trip
Your treatment trip is:

This application is filled by:

Name *
Date of birth *
Relation to Patient *
Phone *
Email *

Attachments

Patient Passport *
Medical Reports *
MRI
X-Rays
CT

Important!

I agree that IMCS is not responsible for any financial matters between the patient and the hospital, and not responsible for the process or result of the medical treatment. I legally authorize the International Medical Coordination Services (IMCS) to contact all necessary hospitals and send and receive all documents and results.
Signature of Patient or Patient’s Legal Representative

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Contact Us

001-904-293-9309

The company’s work team has been chosen with great care. It is composed of a group of experts and specialists with high experience in this field.

Our Services

Organ And Tissue Transplantation

Spinal Cord Transplantation

Neurosurgery And Treatment https://int-medical-coord.com/neurosurgery-and-treatment/

Lengthening The Stature

Infertility In Men And Women

Joint Diseases And Rheumatism

Quick Links

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