REGISTRATION FORM

  • Patient Demographic Information

  • Emergency Contact Information

  • Insurance Information

  • Consent to treat
    I do hereby consent to and authorize the performance of all treatments, surgeries and medical services deemed advisable by the physicians and staff of Seven Mile Medical Clinic Ltd. (the Clinic). I fully understand this agreement and consent will continue until cancelled by me in writing.

  • Release of Medical Information
    I authorize my healthcare provider to release information from my medical record to my insurance provider for the settlement of claims and / or to other healthcare providers for the provision of care. Additionally, I authorize the release of medical information and records to the individuals listed below.

  • Financial Information
    I am eligible for coverage by the insurance indicated on this form, or subsequent coverage provided to the Clinic and I understand that payment is my responsibility regardless of insurance coverage. I hereby assign to the Clinic all money to which I am entitled for medical expenses related to the services provided from time to time by the Clinic, but not to exceed my indebtedness to the Clinic. I understand and agree that failure to pay outstanding balances within 30 days of notification of the amount due may result in additional charges including but not limited to interest, collection and attorney fees.

  • Communication
    I choose to receive communications from Seven Mile Medical Clinic Ltd. (the Clinic) by email at the address stated above, including but not limited to communications about appointments, treatment, results, prescriptions and payment. I understand that this communication may not be secure and there is a risk that they may be read by a third party.

  • For Minors & Legal Guardians
    I am the parent / legal guardian of the patient named above. On their behalf I consent to treatment as in the Consent to Treat section above. I consent to the Release of Medical Information as described above and I agree to be financially responsible for the payment of services provided to the patient and to receive information by email and the patient portal.

Posts / News

Visiting Cardiologist

Board certified cardiologist Dr. Ofer Sagiv will be visiting the Clinic from September 20th – 22nd offering cardiology consultations and diagnostic testing. Please call 949-5600 for an appointment.

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Conquering Cancer Health Fair 21st September 2019

Please visit our booth at the Conquering Cancer Health Fair on Saturday 21st September at the Marriott Beach Resort beginning at 8:30 am. The Clinic will be offering a variety of health screenings, an opportunity to learn more about the Ideal Protein Diet Program and...

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Cardiovascular Services

Seven Mile Medical Clinic Ltd. is pleased to welcome Dr. Ofer Sagiv M.D., F.A.C.C., R.P.V.I. as a visiting cardiologist. Dr. Sagiv is Board Certified in Internal Medicine, Cardiology, CT Angiography, Nuclear Cardiology, and Echocardiography. He is also a...

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Evidence-Based Health Information

Seven Mile Medical Clinic loves empowered patients!  Patients that take their health and well being serious and take greater control over their health decisions have been shown to have better health outcomes. However, it does matter where information comes...

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Luncheon Event

Seven Mile Medical Clinic had a table at the well attended annual Heart Heroes Luncheon on September 28th 2018. The luncheon is a grand event and celebrates survivors of cardiovascular disease. It also alerts the community regarding heart disease risks and...

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Our Address

Email:
admin@sevenmileclinic.ky
Phone:
(345) 949-5600
Address: Queens Court, 175 West Bay Road
Box 31318 Grand Cayman KY1-1206

Important Links

Opening Hours

Monday – Friday: 8:00am - 5:30pm

Saturday: 9:00am – 1:00 pm

Closed Sundays and Public Holidays