medical care and consulting for film, tv & live productions

W-9 (November 2017)

Video Visit  ($30)

Mail Payment


RemoteCare Solutions, LLC

25 New Chardon St. #5917

Boston, MA 02114

Quick Pay Online

Payment

Cast Insurance Physical Exam ($125)
Cast Insurance Physical Exam
PLUS Travel /Admin Fee ($300)

NOTE: click image above, print and insert date.