Contact Us

Get in touch with our team to start your healthcare journey

Schedule Your Free Consultation

Fill out the form below and our team will contact you within 24 hours to discuss your healthcare needs and answer any questions.

Full Name *

Email Address *

Phone Number *

Country of Residence *

Service of Interest *

Preferred Consultation Date (Optional)

How Can We Help? (Optional)

Use the downloadable PDFs to prepare sensitive medical and travel details. Our team will provide secure submission instructions when needed.

How Did You Hear About Us? *

By submitting this contact request, you agree to our Privacy Policy and Terms of Service. Do not include detailed health records, passport numbers, or insurance IDs in this public form.

Contact Information

Email Us

info@reassuremed.com

Call Us

(519) 890 8922 Call 911 or local emergency services

Office Locations

Detroit, Michigan, USA Windsor, Ontario, Canada

Business Hours

Mon - Fri: 8:00 AM - 8:00 PM EST Sat - Sun: 10:00 AM - 4:00 PM EST Call 911 or local emergency services

Map will be embedded here in production

Preparation documents

Patient Intake Forms

Download these blank forms to review and prepare information before speaking with ReassureMed. Do not send completed medical, passport, or insurance forms by regular email unless our team specifically provides secure submission instructions.

Medical History Intake

Use this form to prepare your health history, medication, allergy, and symptom details before a consultation.

Download PDF

Medical Travel Intake

Use this form to prepare travel preferences, companion details, and coordination needs for medical travel planning.

Download PDF

Patient Authorization & Consent

Print and sign this authorization form to include with your intake documents.

View & Print

These PDFs are preparation tools only. ReassureMed will provide secure submission instructions when sensitive medical, passport, insurance, or companion information is required. For urgent medical concerns, call emergency services or your local emergency number.

Frequently Asked Questions

Quick answers to common questions about our services

How quickly will I hear back after submitting this form?

Our team typically responds within 24 hours during business days. For urgent medical inquiries, please call our hotline directly.

Is the consultation really free?

Yes! Your initial consultation is completely free with no obligation. We'll discuss your needs and explain how we can help.

What information should I have ready for my consultation?

Please have your medical records, recent test results, imaging studies, and current medications list ready. We'll guide you through everything else.

Do you offer emergency medical travel services?

Yes, we provide expedited services for urgent medical situations. Call our 24/7 emergency hotline for immediate assistance.

Which countries do you work with?

We coordinate access to accredited hospitals and clinics in selected international locations and continue to expand the list of available care settings.

How is my personal health information protected?

We use HIPAA-compliant systems and encrypted communication channels. Your privacy and data security are our top priorities.

What languages do you support?

Our team speaks English, Spanish, Arabic, Hindi, and Serbian. We also provide professional medical translation services for other languages.

Can family members travel with me?

Absolutely! We can arrange accommodations and travel for your companions. Many patients find having family support invaluable during treatment.

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