We would like to introduce our company PlacidWay (www.placidway.com), a market leader in medical tourism industry. PlacidWay is a US-based medical tourism company with presence in over 40 countries worldwide, offering most comprehensivesolution to over 650 medical providers globally from India to Korea to Mexico and Costa Rica.
In order to qualify and become part of PlacidWay Medical Tourism marketing and facilitation services, we invite you to complete our application process by providing us accurate information about your center.
Please click on https://www.placidway.com/sales_process/register.php to register your medical center. You will be required to provide the following information:
You will receive an email confirming your registration.
Step 2: Login
Using Email and Password you used to register the account, you can login to your account to complete details of your medical center. You can access login from https://www.placidway.com/sales_process/login.php
Step 3: Medical Center Details
Please fill in accurately following information about your medical center:
Corporate Name:* (Required Field): name of your medical center e.g., PlacidWay, LLC
Corporate Email:* (Required Field): your company email address e.g.,firstname.lastname@example.org
Contact Person:* (Required Field): main contact name at your center e.g., Mr. John Doe
Contact Title:* (Required Field): contact name position e.g President
Contact Phone #:* (Required Field): phone number where we can reach you with country code e.g., +1-303-886-6200
Address:* (Required Field): complete physical address of your center e.g, 8008 E. Arapahoe Road, Suite 100
City:* (Required Field): name of the city where your center is located; e.g., Denver
State: (Not a required field): name of the state e.g., Colorado
Country:* (Required Field): select the country e.g., United States
Website: website of the medical center e.g., www.PlacidWay.com
Practice Speciality: list of main procedures your center provides e.g, Cosmetic Surgery
Year Established: write the year your center was established e.g., 2007
# of Doctors in Practice: identify how many doctors are in your practice e.g., 5
Languages Spoken: select key languages that are spoken in your center e.g., English, Spanish, Arabic.
Please click “Save” to save all your information.
Step 4: Qualification Details
The PlacidWay Qualification Form is designed to better understand the specialties and qualifications of your medical center. We will use the information to understand your certifications, doctor's credentials, quality measures and safety accreditations. The information will be made available, upon request, to our customers for their evaluation of qualified medical centers. It is required for all medical centers to accurately fill out the information in order to join PlacidWay's worldwide network.
Medical Provider Specialties: Please select all specialities you intent to promote at PlacidWay.
Please provide an overview of your medical center : Please write 3 to 4 sentences summarizing your medical center and it unique offerings.
Please list all international accreditation and certifications you have : Please identify all international credentials such as JCI you have.
Please list all local certifications and accreditation you have (certification name, issuing authority and date of issue) : please write your medical, state and federal certificates and accreditation you and your center has received.
Doctor Qualifications [List top 5 doctors who will be treating international patients and their certifications] : please identify your main doctors and their certifications
Quality Measures (please list specific quality control measures adopted by hospital/clinics) :
Do you accept any international insurance? : identify if you accept any international insurance from any other country.
Please check whether you agree with the following statement and you are provide PlacidWay accurate information.
I / We hereby certify/declare that the above statements and particulars are true and I / We agree that this application shall be the basis of the contract with the medical tourism company. :
Step 5: Select a Service
Please select one of the 4 PlacidWay marketing services options. You can contact one of the PlacidWay representative to go over details of these options that are available to you.
Step 6: Billing Details
Please select a type of PlacidWay medical tourism marketing and facilitation services. You can choose following services:
If you are interested in PlacidWay’s cusomized Platinum services, please contact PlacidWay representative email@example.com
Please enter following information:
Payment Method :* please choose a preferred payment method for our marketing and facilitation services
Accounting Contact :* please provide who should receive the PlacidWay invoices for payments
Contact Phone #: please provide accounting phone number
Accounting Email :* please provide accounting email address
Please click SUBMIT button to submit the information.
You will receive an email with the details of next steps. It will also provide you with a link to review the agreement.