Request for an appointment – Medical check-up

/in , /
G
Request for an appointment – Medical check-up
  • .ginput_price { display: none; }

    Once you fill out the form below, we will contact you within 24 business hours to schedule your appointment.

  • (select a date)
    YYYY slash MM slash DD
  • (without space)

  • Please note that appointments for patients who wish to perform their laboratory tests at Physimed are reserved early in the morning to accommodate those patients who must be fasting. For patients who wish to perform their laboratory tests outside of Physimed, appointments are reserved in the afternoon.

    The costs for blood and urine analyses are not covered by Medicare, but private insurance companies reimburse, in general, the costs for these services.

  • After clicking on the ''submit'' button, please do not exit this page before being redirected to the confirmation page.

gform.initializeOnLoaded( function() {gformInitSpinner( 71, 'https://www.physimed.com/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery('#gform_ajax_frame_71').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_71');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_71').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_71').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_71').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_71').removeClass('gform_validation_error');}setTimeout( function() { /* delay the scroll by 50 milliseconds to fix a bug in chrome */ jQuery(document).scrollTop(jQuery('#gform_wrapper_71').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_71').val();gformInitSpinner( 71, 'https://www.physimed.com/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery(document).trigger('gform_page_loaded', [71, current_page]);window['gf_submitting_71'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_71').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_71').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [71]);window['gf_submitting_71'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_71').text());}, 50);}else{jQuery('#gform_71').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger('gform_post_render', [71, current_page]);} );} );