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Book Your Cent Health Checkup

Hey there, you're eligible for 2 complimentary Cent Health Checkups as part of your employee benefits. Fill out this form with your details and preferred appointment date to initiate your booking request.
What does your checkup include:
• 6-part full body MRI of Head, Chest, Neck, Abdomen, Spine, and Pelvis
• CT Calcium
• CT Lung and Thorax
• Mammography
• Dexa Scan (re-test after 6 months)
• ECG and 2D Echo (re-test after 6 months)
• Blood test covering 115+ biomarkers (re-test after 6 months)
• 4 GP consults
In case of any queries related to preventive screening or the booking process please contact the Cent Health representative Santosh, at +91-9187980785

Full Name

Official email address

Mobile Number

Employee ID

City

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Date of Birth

Gender

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B
C

Weight

Any medical conditions or surgeries we should know about?

Home address for blood sample collection

Pincode

Preferred date for home sample collection

Preferred time slot for home sample collection

A
B
C

Preferred date for in-clinic scan

Preferred time slot for in-clinic scan

A
B
C
D
E
F