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1
Order Form

Order Instructions:

  • Submit the completed form
  • Review and confirm the information
  • Print your order information
  • Mail your order information along with
    a cheque payable to Personal Health System

    65 Larch Street ▫ Suite 200c ▫ Sudbury ▫ ON ▫ P3E 1B8
PHS Online Diary
What would you like to do?
To sign up for a free trial click here.
 
Renew my membership or make my trial membership a full account
Sign up for a new account
I do not wish to order the PHS Online Diary
Individual memberships* Family package*
       (total of 4 family members)
$49.95 one year
$129.95 for 3 years
$179.95 for 5 year

Please send me the PHS folder for only $19.95* (regular $24.95).

$99.95 one year
 $139.95 for 3 years
 $189.95 for 5 year

Please send me up to 4 PHS folders for only $19.95* each (regular $24.95).

qty:

 
PHS Diary (Folder)
The PHS TM diary contains all the forms needed to help you keep track of your entire medical history.

The PHS Diary is your first step to becoming a priority patient

qty: x $24.95*
 
Secrets to Becoming a Priority Patient
How to take responsibility for your complete medical history, to provide health care professionals the information they require to make informed decisions regarding your health care.

qty: x $19.95*

* The $10.00 price discount on the PHS diary folder is available only to new subscribers or account renewals of a 3 or 5 year term or any family package of the Online services.

Prices are subject to applicable taxes.

All PHS diary folders and book orders are subject to a $3.50 shipping charge.