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By completing this form you also acknowledge that you have been provided with a copy of Virginia Hospital Center's Privacy Notice and that you understand that the information you provide will only be used for treatment, payment and Hospital operations as described in the Notice and in accordance with applicable federal and state laws and regulations.

Privacy Policy

Executive Health

Patron Registration

Core Services - $2,200.00

  • Detailed Medical History and Physical Examination by Internist (includes review of family conditions, basic lifestyle assessment [diet, stressors, alcohol/drug use, exercise habits], medicines being taken, and appointments scheduled)
  • Comprehensive Laboratory Screening Tests (blood and urine) to test for anemia, diabetes, thyroid, liver and kidney disease. Also includes lipid panel to assess cardiac and stroke risk factors.
  • Testing for men also includes prostate exam and PSA (Prostate Specific Antigen) screening.
  • Fecal Occult Blood Test to detect GI bleeding
  • Basic Audiologic Screening
  • Resting Electrocardiogram (EKG) to test heart’s electrical activity
  • Exercise Stress Test
  • Screening CT Scan of the Chest (for signs of lung cancer), to include a Coronary Calcium Scan (to assess heart size, wall thickness, etc.) for patients over 40 years of age unless otherwise indicated by physician.
  • Screening Pulmonary Function Tests to check for emphysema, bronchitis, etc.
  • Final Interview with Internist, including review of test results
  • Written Summary of evaluation and test results sent to patient's home (and his/her Primary Care Physician, if requested) within 3 – 5 business days (some test results may take longer)

Premium Services - $3,400.00

Includes all Core Services, plus:
  • Screening CT Scan of the Abdomen and Pelvis
  • Eye Examination by Ophthalmologist
  • Stress Echocardiogram (if indicated)
  • Vascular Screening Ultrasound or Non-Invasive Vascular Lab Studies

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You will need the following information to complete this form.

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Register for
Core Services - $2,200.00 [?]
Premium Services - $3,400.00

Please specify the date you would like to participate in the Executive Health Program. Shortly thereafter, the Executive Health Manager will contact you to let you know whether or not your requested day is available. In most cases, scheduling one month in advance is preferable.

Desired appointment date (mm/dd/yyyy):


Contact Info

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