IASIS SAFEGUARD PLUS 

At the Iasis Corporation, we take your health very seriously.  That is why we want to know everything that would help us help you.

Before we can do a medical assessment for a prescription or medical procedure like MRI or a  personal consultation - we need to know your medical history, as well as your current medical condition and concerns.

The application will cost a  

non-refundable $25 annual membership fee.  

This review will take you about 5 minutes.

Before Beginning

Here's what you will need to have ready...

bulletFamily physician name, address, phone and fax
bulletA list of your current medications
bulletYour VISA, MASTERCARD credit card information
bulletInternet Explorer 4.0 or better required*

If you need to leave the site, add this page to your Favorites or Bookmarks list to find your way back here.

  *In order for us to give you the most complete and easy to use forms.  If you are using Netscape, you will need to open Internet Explorer. (On your desktop - usually one of the first icons.) If you need to download a newer copy of Internet Explorer - click on this icon and you can do a free download.

Today's Highlights