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Contact Virtual Physical

You can e-mail Virtual PhysicalTM directly at Info@VirtualPhysical.com.

If you prefer, you can call us at 301-984-9009 or 410-484-5128 or toll free at
1-866-V-PHYSICAL (1-866-874-9742).

If you would like us to contact you to schedule your appointment or to send us your comments, please fill out and submit the following information. (Personal information such as height and weight are only needed if you would like us to schedule an appointment.)

Name
E-mail address
Street Address
City
State
Zip
Home Phone
Work Phone
I would like
Virtual PhysicalTM to:
Mail me information on VP
Have a representative call me
E-mail me information on VP
I am interested in:
Full body scan
Heart scan
Virtual colonoscopy
All services
Date of Birth
(mm-dd-yy)
Sex
Female Male
Height
(ft-in)  
Weight
(lbs)
Personal Physician
How did you learn about
Virtual PhysicalTM?
(newspaper, television, doctor, friend, etc.)
Comments


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