The SurgicalEscape Process

Review the following steps and then complete the information form below:

• A SurgicalEscape representative will follow up with you within two days to answer any questions and provide a quotation for your package.
• Complete your personal medical questionnaire which will be sent to you via email. If necessary, we may require X-rays or MRIs.
• A conference call will be arranged between you and your physician abroad who will answer all your medical questions.
• Finalize your procedures and trip itinerary.
• Full payment will be collected for your package.
• Depart for your chosen destination/hospital.
• Greeted by your SurgicalEscape representative at the airport who will assist you through customs and take you to your accommodations.
• Meet your doctor for the initial consultation.
• Your procedure will then take place.
• Recuperate and relax at your retreat with VIP service and care.
• Participate in any tours that may you have selected.
• Travel home.
• Your physician and SurgicalEscape representative will call to follow-up.

Personal Information Form

Principal Interest ---- Select ---- None in Particular MS Liberation Cosmetic & Plastic Surgery Bariatric Surgery Orthopedics Dentistry Ophtalmology Medical Check Ups Dermatology Cardiology Neurosurgery Gyn/Ob Surgery General IVF	Specific Procedure
Secondary Interest ---- Select ---- None in Particular MS Liberation Cosmetic & Plastic Surgery Bariatric Surgery Orthopedics Dentistry Ophtalmology Medical Check Ups Dermatology Cardiology Neurosurgery Gyn/Ob Surgery General IVF	Specific Procedure
Phone	Surgery / Procedure Timeline ---- Select ---- 1-2 months 2-4 months 4-6 months Doesn't Matter
Name	Email
Street Address	City/Province
State	Zip/Postal Code
Country
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