Med Access India
Med Access India
 
"After three years of pain, difficulty walking, and an inability to work, I have finally entered a new hopeful and exciting chapter in my life It would not have been possible without MedAccess India's help and guidnce."
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     GENERAL ENQUIRY FORM
 
  Thank you for visiting the Med Access Web site
  We will reply with relevant details and cost estimates as soon as possible.
  PERSONAL DETAILS  
Name *
Surname
Email *
Postal Address
Suburb
City
Country
Zip/Postal Code
Telephone
Fax
Have you been to India before?
    Yes No
How did you hear about Med Access?
   SURGICAL PROCEDURE
  Orthopaedic Surgery
  Specify procedure.
  Name your surgeon of preference
  Obesity Surgery
  Specify procedure.
  Name your surgeon of preference
  Cardiology
  Neurosurgery
  Specify procedure.
  Name your surgeon of preference
  Oncology
  Specify procedure.
  Name your surgeon of preference
 
  Cosmetic, Plastic , Reconstructive
  Surgery
  Specify procedure.
  (For multiple selections please hold down the
  Control key and make your selections with
  your mouse.)
  Would you be able to e-mail a digital
  photograph of yourself		 Yes No
  Name your surgeon of preference

  Ophthalmic Surgery
  Specify procedure.
  (For multiple selections please hold down the
  Control key and make your selections with
  your mouse.)
  Name your surgeon of preference
  Dental Surgery
  Specify procedure.
  (For multiple selections please hold down the
  Control key and make your selections with
  your mouse.)
  Name your surgeon of preference
  Infertility Treatment
  Do you require treatment Yes No
  Other Procedures
  ( Please mention if you are looking for any
  other treatment which is not covered here)
  About your Medical Condition and
  Your Diagnosis ?
  Preferred online consultation
 Phone Email
  RECUPERATION ACCOMODATION PACKAGE
  Are you interested in our Recuperation
  Accommodation package?
 Yes No
  Specify type of package ? Hotel
Guest House
Own arrangements
IT IS IMPORTANT TO READ OUR TERMS AND CONDITIONS BELOW
Terms & Conditions
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Accommodation
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Cost Estimate:
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The cost estimate for recuperation is quoted in Indian Rupees subject to exchange rate fluctuations. Certain terms and Conditions apply.

Any bookings confirmed and not taken up will be subject to cancellation fees.


Includes:
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Accommodation
Personal Assistant to accompany you to all your medical appointments and surgery
Transport for return airport transfers and medical appointments.
Detailed Itinerary.


Excludes:
--------------------------------------
Tour Options.
Transport for all additional outings
Rejuvenation treatment.
.Additional expenses not specified.
Meals


Payment Terms:
--------------------------------------
Non-Refundable Deposit required securing your booking.
Deposit to be invoiced and paid to Med Access via bank Transfer - as indicated on the invoice - and will be deducted from the daily room rate charged.
Balance payable when you check in on arrival.
Payment can be made via valid Credit Card or Travelers Cheque or Cash.


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Surgery - Terms and Conditions
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Medical Evaluation:
--------------------------------------
The fee quoted will be confirmed after further medical evaluation by the surgeon.

We will arrange for Initial Clinical Evaluation by the surgeon after receiving the Medical History Form and recent Photographs /X-Ray's / CT scan / MRI Scan's / Echocardiogram / Angiogram / Pathological Reports or a summary of observations on them as per the treatment/ procedure requirements

We encourage you to ask questions using email or the telephone.

Both you and the surgeon are under no obligation until after your pre operative consultation.

Med Access reminds you that all surgeries carry risks, have limitations which could include disappointment with the results.

You should agree about the anticipated outcome of your surgery and concur about your expectations of the results.

You should discuss alternative treatments and thoroughly understand the risk of the procedures
If any dispute may arise the surgeon is only liable if litigation takes place in India under Indian Law.
Any medical or surgical advice provided through the Med Access web site and service, even if intended to be accurate to the best of our knowledge, should be discussed with the Surgeon.
Always seek advice from your Surgeon before embarking on any treatment, medication or therapy.


Cost Estimate - Surgery:
--------------------------------------
The cost estimate is to be confirmed by the surgeon at your pre-op consultation prior to surgery.
The cost estimate is subject to exchange rate fluctuations, certain terms and Conditions apply


Includes:
--------------------------------------
The cost is all-inclusive whilst in India for selected procedure: The surgeon, specialist anesthesiologist, and private clinic/hospital stay for the required procedure with 24 hours nursing facilities, all theatre charges, medication, pre and postoperative consultations and non-refundable administration fee, for the selected procedures.

Medical evaluation, Email correspondence and Telephonic consultations.
Pre and Post operative instructions for your selected procedures.
Detailed Itinerary for pre and post operative consultations.


Excludes:
Any additional medical expenses that might have incurred for the safety of your health as a result of unforeseen complications Ð please discuss with the surgeon.

Insurance.

Additional procedures.


Payment Terms:
--------------------------------------
Non Refundable Administration Fee charged as a deposit to secure your booking.
Deposit payable to Med Access via bank transfer as indicated on the invoice and will be deducted from the agreed cost estimate.
Balance of the fee payable directly to the surgeon at your pre operative consultation
Payment can be made via valid Credit Card orTravellers Cheque or Cash
  I have read the terms and conditions above:   Yes No
  Please specify any further questions you might have regarding the services offered on our web site or
  any additional procedures you might require.
  Please be assured that all electronic data received is treated with the strictest confidentiality.
    
 
 
 
 
 
 
 
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