1-888-456-1858 / 504-456-1858

Where you can call & consult with an expert for ten minutes, toll free !  or   Consult by email with an Expert!

Uninsurable ?.......Very Unlikely.........Take the 10 second Test !

HYPERTENSION
(HIGH BLOOD PRESSURE)

A. List previous high readings and
     approximate dates of high readings?

B. Current blood pressure readings?

C. How long on present medication(s)?

D. Has proposed insured ever had chest pains?
     If yes, the date and details of last episode?

E. Has proposed insured had an EKG or stress test
    done since being diagnosed as Hypertensive? If so,
    what were the results and date?

F. Please answer ALL questions listed under
    #1 General Risk Profile 

LIVER DISORDERS! HEPATITIS


A. History of alcoholism or alcohol abuse? If yes,
     answer questions listed under  alcohol abuse.
     (# 2 of Impairment Index)

B.  Do you have a liver disorder, indicate type.
     (ie: hepatitis, jaundice, fatty liver, cirrhosis,
      hemochromatosis, abnormal liver function tests)
      and date of diagnosis?

C. If hepatitis, what type... A, B or C?

D. Indicate type(s) and date(s) of diagnostic tests performed
     on your client? (ie: bloodwork, CAT scan, Sonagram,
      biopsy)

E. What are proposed insured's most recent liver enzyme
      readings? SGOT, SGPT, GGPT?

F. Answer ALL questions listed under
     #1 General Risk Profile  

                     Request a quote                                               Fax your medical reports to 504-885-4640

   Consult with an expert for ten minutes,  free.... call  1 888 456 1858