Get the free Attending Physician's Statement - Surgical Tourism Canada
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Physician s Name print Telephone number Date Signature MD Certified specialist Yes No Please specify Suite 400 601 W. Broadway Vancouver BC V5Z 4C2 Tel 604-871-4315 Toll Free 1-877-871-4315 US Canada Email info surgicaltourism.ca www. Date day/month/year Signature of patient Tel The patient is responsible for securing this information and any fees her/his physician may charge. SURGICAL TOURISM CANADA INC. Healthcare without borders Attending Physician s Statement This form serves to provide...
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Gather all necessary information and medical records related to the patient's condition.
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