Prescan - Total Body Scan - Medische check-up en MRI/CT scans
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Personal details
First name:
Last name: *
Address:
Postal code:
Town:
Date of birth: (dd-mm-yyyy)
Telephone: * (8.30 am - 5.00 pm)
E-mail: *
Interested in:


Other kind of examination, namely:
How did you find out about www.prescan.co.uk?
  Other, namely:
Please answer the following questions as they provide us with important information and help us design an appropriate examination programme for you.
Do you have high blood pressure?
Do you have or have you ever had high cholesterol?
Are you claustrophobic?
Are you pregnant?
Do you have metal implants in your body?
Have you had pacemaker insertion, or valve surgery?
Are you a smoker?
If yes, how many years have you smoked:
Number of cigarettes/cigars per day:

What is your height? cm.
What is your weight? kg.
Do you have any physical complaints?
Are you taking any medication? (If yes, please specify)
Any further relevant medical history? (If yes, please specify)
Have you had any serious illnesses or operations in the past?

Details are mandatory where marked with an *

News & Press
Prescan in SkyNews (TV) - 10 Aug 2009
At Home with Lorraine Kelly - 25 Jun 2008
Duncan Bannatyne at Prescan - 20 Jun 2008
Linda Kilburn tells her story in the Sunday Express - 11 Mar 2008
Times Online: Dr Thomas Stuttaford answers your questions on screening - 17 Jan 2008
More news >>
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