Appointment Form

| Please
Note: Appointment Scheduling for Full Body Iridology Scan is available
all day every day. To speak with a Health Scan representative, call
(519) 259-4334. All information on this form will be transferred by
encrypted means for review by Health Care staff.
Someone will contact you within 24 hours to discuss your appointment
and/or to confirm time, date and location. |
Full Body Iridology Test
is $199.00 You may qualify for a $50
discount if you are a member of one of our civic related groups, including:
Registered Medical Groups
Registered Spiritual Group
Registered Trade Unions
Registered Service Clubs or Associations
You must remember to enter your organization's coupon code
below in order to qualify for your $50.00
discount, which will be deducted from your deposit amount ($100.00 -
$50.00). The Discount will show in your checkout before you make your
payment. If you do not have a coupon code, please get one from your
organization or call the doctor to get one.
If your group is not yet registered with us, why not suggest it to your organization's leadership team? You may want to join our affiliate program to earn finder's fees.
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For Non-Members of Qualified Groups |
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| Regular body scan appointment fee |
$199 |
| Deposit required when you register below |
$100 |
| Balance to pay at your appointment |
$99 |
|
For Members of Qualified
Groups Only |
|
| Regular body scan appointment fee |
$199 |
| Deposit required when you register below
(You must enter coupon code at the bottom of
this page) |
$50 |
| Balance to pay at your appointment |
$99 |
The $100 balance
must be paid at the appointment location before you can have your test.
Note: Deposit fee is non-refundable.
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