Paramedical Services for Life Insurance Companies
Complete Paramedical services. Affiliated with the major national Paramedical Companies. Professionally qualified staff; Personalized care to your insurance clients.

 Medical Services Flu Shot clinics, Hepatitis Vaccination Programs, DNA testing, Occupational Health Testing, Employee Health Screenings

 



  Family owned and operated since 1994
Providing Medical Compliance Testing Throughout the New England States

Centrally located at 27 Gable Place in Barre Vermont
(802) 479-9201

 
Exam Request Form
Agent Name:  
Agent Code:  
Agent Telephone:  
Agent Fax:  
Agency Name:  
Agent Email:  
Insurance Company:  
Company Requirements:  
Insurance Amount:  
Insurance Type:   Life Disability Other
If Insurance Type is Other, please explain:  
 
Proposed Insured's Information
 
Name:  
Date Of Birth & SS#:   ,
Street Address:  
City, State, Zip   ,     
Home Phone, Work Phone:   ,
Best Time To Contact:  
Special Instructions or Comments:  
    


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