Details of the new request

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Upload Attachments

Please upload your medical records, scan, images, and other important medical documents into our secure portal. Our portal is fully secure and all your information is always available 24/7.

Doctor Notes & Reports

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Lab Reports

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Images/scans study

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Other documents

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Your Order

Reference #	{reference_job}
Specialisation	{specialisation_job}
Selected Plan	Plan {selected_plan}
Cost	$ {cost_plan}
Other charges	$ 0
Total	$ {total_cost_plan}