Request an Appointment

Appointment Scheduling for International Patients

Thank you for your interest in Medera Medical Group Global for your healthcare needs.  In order to best assist you, please complete the below form.  Once submitted,  international patient team will promptly contact you. 

Please Note: This form is intended for non-emergency appointment requests from international patients. If you are experiencing a medical emergency, please contact your local emergency services or go to the nearest emergency department immediately.

Your Name
Please enter where you are currently located, such as London, UK; Toronto, Canada; or Shanghai, China.
Please indicate your primary coverage.

Clinical Information

Please enter the patient’s gender.
Please enter the patient’s age.
Do you have medical records in English?
Please briefly describe the patient’s current orthopedic concern, such as pain, stiffness, numbness, weakness, limited movement, difficulty walking, or problems after a previous orthopedic surgery.
For example: 2 weeks, 6 months, several years, since an injury, since a previous surgery, or recently getting worse.
Drag & Drop Files, Choose Files to Upload You can upload up to 15 files.
If available, please upload X-rays, MRI, CT scans, medical reports, doctor’s diagnosis, surgery recommendations, or previous surgery records.

Service Preferences

What is your preferred contact method?
Which type of service would you like to book?
Please provide your preferred appointment date or timeframe, such as August 15, 2026, within the next 1–3 months, or not decided yet.
Is an interpreter needed?
Please add any other information you would like us to know.
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