NEITHER THESE SECURITIES NOR THE SECURITIES ISSUABLE UPON EXERCISE HEREOF
HAVE BEEN REGISTERED WITH THE UNITED STATES SECURITIES AND EXCHANGE
COMMISSION OR THE SECURITIES COMMISSION OF ANY STATE, OR UNDER THE
SECURITIES ACT OF 1933, AS AMENDED (THE "SECURITIES ACT"). THE SECURITIES ARE
RESTRICTED AND MAY NOT BE OFFERED, RESOLD, PLEDGED OR TRANSFERRED EXCEPT AS
PERMITTED UNDER THE SECURITIES ACT PURSUANT TO AN EFFECTIVE REGISTRATION
STATEMENT OR AN EXEMPTION FROM SUCH REGISTRATION REQUIREMENTS.
COMMON STOCK PURCHASE WARRANT
1. Issuance. In consideration of good and valuable consideration, the receipt of which is hereby acknowledged
by IDMedical.com, Inc. (the "Company"), ____________, Inc. (the "Holder"), is hereby granted the right to
purchase, subject to Section 2 hereof, at any time commencing six months after the date of execution of this
Warrant and continuing for a period of four years (the "Expiration Date"), _____________ (________) fully
paid and nonassessable shares of the Company's Common Stock, $.001 par value per share (the "Common
Stock") at an initial exercise price per share of $1.10 (the "Exercise Price"), subject to further adjustment as set
forth in Section 6 hereof.
2. Exercise of Warrants. This Warrant is exercisable in whole or in part at the Exercise Price per share of
Common Stock payable hereunder, payable in cash, by certified or official bank check, or by wire transfer.
Upon surrender of this Warrant with the annexed Notice of Exercise Form duly executed, together with payment
of the Exercise Price for the shares of Common Stock purchased, the Holder shall be entitled to receive a
certificate or certificates for the shares of Common Stock so purchased.
3. Reservation of Shares. The Company hereby agrees that at all times during the term of this Warrant there shall
be reserved for issuance upon exercise of this Warrant such number of shares of its Common Stock as shall be
required for issuance upon exercise of this Warrant (th