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Medialpha Homepage form EN
1
Which service are you looking for?
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Medication injection - 60$
Wound care - 60$ for 15 min, 20$ per additional 15min
Strep test - 60$
Chemstrip (Urinary tract infection ) - 60$
Public blood test - 90$
Private blood test - variable cost
Telemedicine - variable cost
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2
What date would you like to receive the service?
Date
Year
Month
Day
Date
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3
Do you have private insurance?
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YES
NO
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4
What is your postal code?
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5
Last name, first name and contact number
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Last name
First name
Phone number
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6
Your email
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example@example.com
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7
Upload your requisition
Optional
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Requisition
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8
Does your medical insurance cover your laboratory analysis?
Optional
Yes, it is covered
I don't have medical insurance
I don't know
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