Have you ever had a healthcare problem and had difficult to find the right Doctor or Health Provider for your specific needs?

Imagine to have all the knowledge and insides information about healthcare system, providers and doctors at one phone call or email away, plus having a first hand guidence, help and support from health specialist and doctors. Guidance, transportation and translation for your healthcare needs. All these and more benefits will give you the PEACE OF MIND you deserve while you are retiring in the Yucatan peninsula.

HealthNet Connect 

HealthNet Connect provides quality, affordable medical and wellness services and assisting with the language barriers. We will provide information regarding hospitals, doctors, treatments and procedures, and help you select the best medical provider for your individual needs. Using our experience and research we offer you PEACE OF MIND that you will always have the best treatments and procedures, doctors and medicine at the most cost effective way.

    Name(First & Last)
    Date of Birth:
    Home Address:
    City:
    Cell Phone Number:
    Email:
    Do you have a health insurance: yesno
    Which one:
    Full time in Mexico: yesno
    If no, how many months will you live in Merida:
    Membership
    Start Date:

    Valid until:
    Do you have or have you had any of the following diseases or conditions?
    Condition Condition Condition
    Diabetes: yesno Hepatitis B, C or Cirrhosis: yesno Rheumatoid Aitritis: yesno
    Hypertension: yesno Renal insufficiency: yesno Lung diseases: yesno
    Vascular brain: yesno Cancer: yesno Connective tissue disorders: yesno
    Psychiatric: yesno Leukemia: yesno AIDS: yesno
    Hearth: yesno Lupus: yesno Alcohol or drug abuse: yesno
    Do you have any chronic or congenital condition not mentioned or pending treatment or surgical intervention?
    Emergency Contact
    Name:
    Relationship to member:
    Country of residence:
    Country code:
    Phone Number:
    Address:
    Email:
    I HAVE READ, UNDERSTOOD AND AGREE TO THE TERM & CONDITIONS

    HealthNet Connect Terms & Conditions are also available at www.healthitinerary.com

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