Paramedical Exams - New Era Exams

Your Life Insurance

Paramedical Exams Company

New Era Exams

Choose appointment date and time. *

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Apartment Number

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City: *

Client Email

Insurance Information

Client Home Address *

Policy Amount *

Special Instructions

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Client Middle name

NEW ERA EXAMS

PO BOX 248

Walnut, CA 91788

Hours of Operation: Mon - Fri 9am - 5pm

Examiners perform exams 7 days a week.

In case fo an emergency you can reach out to

us by sending an email to:

NewEra@NewEraExams.com

The Office is CLOSED Saturday and Sunday

Client Date of Birth *

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Donate Blood

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Client Last name *

Client First name *

Exam to be perform at *

Clients home

Clients work ( Exam must take place in a private area )

Insurance Company *

To schedule your Blood donation click here:

Client preferred language

English

Spanish

Other (provide language in Special Instructions)

Agent email address *

Type of Policy *

Client Social Security Number (LAST 4 ONLY) *

Agent complete name and agent's code *

Paramedical Exams - New Era Exams​

​​​Your Life Insurance

​ ​​​New Era Exams​

Paramedical Exams - New Era Exams

Your Life Insurance

New Era Exams