Submit Your Medical History
Help Us Understand You Better
Before Your Procedure
Your safety starts with your story.
Before moving forward with your treatment, we need to learn about your health background.
Completing this form is an essential step to ensure we recommend the most appropriate and safe approach for your procedure.
Please take a few moments to complete your medical history form with accurate and detailed information.
Be sure to include any pre-existing conditions, current medications, allergies, and previous surgeries. Your answers allow our medical coordination team to understand your needs and provide you with personalized guidance throughout the process.
What happens after you submit the form?
Once we receive your medical history, our clinical team will carefully review your information. If necessary, a member of our coordination staff will contact you to clarify any details or request further information. This step helps us keep your safety as our top priority while preparing your next steps.
You're one step closer to your transformation
By filling out this form, you’re helping us create the safest and most effective plan for your upcoming procedure in Mexico.
Thank you for taking this important step with GoMed Pro — we’re honored to support you on your journey.
Confidential and Secure
All your information is treated with the highest level of privacy. It will only be shared with professionals directly involved in your case, and only when necessary. We never sell or disclose your data to third parties.

Quick Links
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