Member Services
Patient Questionnaire

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BSI Member Patients may request medical services by clicking next at the bottom of the page.

IMPORTANT : If it has been more than 2 years since you last completed a Patient Questionnaire, we kindly request you complete a new questionnaire by clicking here.

We respect your privacy. Your Questionnaire is hosted on our private secure server. No information is given to outside parties, nor is it stored in the so-called cloud.