Document:

Exhibit 4.2

Number of Shares: _______________                                                                                                    Date
of Grant: _______________

FORM OF NON QUALIFIED STOCK OPTION AGREEMENT

 AGREEMENT made
    this day of , 20____, between (the “Optionee”), and VISUALMED
    CLINICAL SOLUTIONS CORP., a Nevada corporation
    (the “Company”). 

 1. Grant
        of Option. The
        Company, pursuant to the provisions of The MARCH
        2007 VISUALMED CLINICAL SOLUTIONS CORP. Nonqualified
        Stock Option Plan (the “Plan”), set forth as Attachment A hereto,
        hereby grants to the Optionee, subject to the terms and conditions set
        forth or incorporated herein, an Option and Purchase from the Company
        all or any part of an aggregate of _______________ Common Shares, as
        such Common Shares are now constituted, at the purchase price of $ _______________
        per share. The provisions of the Plan governing the terms and conditions
        of the Option granted hereby are incorporated in full herein by reference.

 2. Exercise. The
    Option evidenced hereby shall be exercisable in whole or in part (but only
    in multiples of 100 Shares unless such exercise is as to the remaining balance
    of this Option) on or after __________________,
    20___ and on or before _________________ , 20___, provided that the cumulative
    number of Common Shares as to which this Option may be exercised (except
    as provided in paragraph 1 of Article VI of this Plan) shall not exceed the
    following amounts:

Cumulative Number of Shares                                                                                                    Prior
to Date (Not Inclusive of)

The Option evidenced hereby shall be exercisable by the deliver to and receipt by the Company of (i) a written notice of election to exercise, in the form set forth in Attachment B hereto, specifying the number of shares to
be purchased; (ii) accompanied by payment of the full purchase price thereof in case or certified check payable to the order of the Company, or by fully-paid and nonassessable Common Shares of the Company properly endorsed over to the Company, or by
a combination thereof; and, (iii) by return of this Stock Option Agreement for endorsement of exercise by the Company on Schedule I hereof. In the event fully paid and nonassessable Common Shares are submitted as whole or partial payment for Shares
to be purchased hereunder, such Common Shares will be valued at their Fair Market Value (as defined in the MARCH 2007 Plan) on the date such Shares are received by the Company and applied to payment of the exercise price.

Optionee other than by the Optionee’s will, by the laws of descent and distribution, as provided in paragraph 9 of Article V of the Plan. The Option shall be exercisable only by the Optionee during his/her
lifetime.

 

	 	 	VISUALMED CLINICAL SOLUTIONS
    CORP.  
	 	 	BY: _______________________________

           Gerard Dab, Chairman & Chief Executive Officer

   

ATTEST:

____________________________

Jayne Kirby, Vice President Finance

Optionee hereby acknowledges receipt of a copy of the Plan, attached hereto and accepts this Option subject to each and every term and provision of such Plan. Optionee hereby agrees to accept as binding, conclusive and
final, all decisions or interpretations of the Compensation Committee of the Board of Directors administering the Plan on any questions arising under such Plan. Optionee recognizes that if Optionee’s employment with the Company or any
subsidiary thereof shall be terminated with cause, or by the Optionee, all of the Optionee’s rights hereunder shall thereupon terminate; and that, pursuant to paragraph 10 of Article V of the Plan, this Option may not be exercised while there
is outstanding to Optionee any unexercised Stock Option, granted to Optionee before the date of grant of this Option, to purchase Common Shares of the Company or any parent or subsidiary thereof.

Dated: ____________________________________

 

	 	 	 
    

	 	 	Optionee
	 	 	 
	 	 	  
    

	 	 	Type or Print Name
	 	 	 
	 	 	  
    

	 	 	Address
	 	 	 
	 	 	  
    

	 	 	Social Security No. 

Date:

Secretary,

VISUALMED CLINICAL SOLUTIONS CORP.

1035 rue Laurier O. Montreal, Qc, H2V 2L1 

Montreal, Quebec

Canada H2V 2L1 

Dear Sir/Madam:

In accordance with paragraph 2 of the Nonqualified
Stock Option Agreement evidencing the Option granted to me on _____________________
under The MARCH 2007 VISUALMED CLINICAL
SOLUTIONS CORP. Nonqualified Stock Option
Plan, I hereby elect to exercise this Option to the extent of __________________
Common Shares.

Enclosed are (i) Certificate(s) No.(s) ____________________
representing fully-paid common shares of VISUALMED
CLINICAL SOLUTIONS
CORP. endorsed to the Company with signature
guaranteed, and/or a certified check payable to the order of VISUALMED
CLINICAL SOLUTIONS  CORP. in the amount
of $
_______________ as the balance of the purchase price of $
 ______________  for the Shares which I have elected to purchase and (ii) the original Stock Option Agreement
for endorsement by the Company as to exercise on Schedule I thereof. I acknowledge that the Common Shares (if any) submitted as part payment for the exercise price due hereunder will be valued by the Company at their Fair Market Value (as defined in
the Plan) on the date this Option exercise is effected by the Company. In the event I hereafter sell any Common Shares issued pursuant to this option exercise within one year from the date of exercise or within two years after the date of grant of
this Option, I agree to notify the Company promptly of the amount of taxable compensation realized by me by reason of such sale for federal income tax purposes.

When the certificate for Common Shares which I have elected to purchase has been issued, please deliver it to me, along with my endorsed Stock Option Agreement in the event there remains an unexercised balance of Shares
under the Option, at the following address: 

Include Optionee’s address here.

	 	 	 
    

	 	 	Signature of Optionee 
	 	 	 
	 	 	

	 	 	Type or Print NameEXHIBIT 4.2

                    SCHEDULE OF DIFFERENCESIN
                    ATTACHED PROMISSORY NOTES

[A]   [B]         [C]              [D]          [E]
-----------------------------------------------------------------------------
$ 350   September 6, 2006   Leonard W.  Three Hundred   Leonard  W. Suroff
                            Suroff      Fifty ($ 350)   12 Tompkins Avenue
                                                        Jericho, NY 11753
-----------------------------------------------------------------------------
$ 1,000 September 13, 2006  Leonard W.  One Thousand    Leonard W. Suroff
                            Suroff      ($1,000)        12 Tompkins Avenue
                                                        Jericho, NY 11753
-----------------------------------------------------------------------------
$ 3,750 October 4, 2006     Leonard W.  Three Thousand  Leonard W. Suroff
                            Suroff      Seven Hundred   12 Tompkins Avenue
                                        Fifty ($3,750)  Jericho, NY 11753
-----------------------------------------------------------------------------
$ 1,000 October 12, 2006    Leonard W.  One Thousand    Leonard W. Suroff
                            Suroff      ($1,000)        12 Tompkins Avenue
                                                        Jericho, NY 11753
-----------------------------------------------------------------------------
$ 120   August 14, 2006     Richard     One Hundred     Richard Bernstein
                            Bernstein   Twenty ($ 120)  4 Dogwood Hill
                                                        Brookville, NY 11545
-----------------------------------------------------------------------------
$ 350   September 6, 2006   Richard     Three Hundred   Richard Bernstein
                            Bernstein   Fifty ($ 350)   4 Dogwood Hill
                                                        Brookville, NY 11545
-----------------------------------------------------------------------------
$ 150   September 15, 2000  Richard     One Hundred     Richard Bernstein
                            Bernstein   Fifty ($150)    4 Dogwood Hill
                                                        Brookville, NY 11545
-----------------------------------------------------------------------------
$ 1,250 October 4, 2000     Richard     One Thousand    Richard Bernstein
                            Bernstein   Two Hundred     4 Dogwood Hill
                                        Fifty ($1,250)  Brookville, NY 11545
-----------------------------------------------------------------------------

                                  1
<PAGE>

                         PROMISSORY NOTE

[A]                                          Jericho, New York
                                                          [B]

FOR VALUE RECEIVED, the undersigned, IPORUSSIA, INC., a Delaware
corporation (the "Maker"), hereby absolutely, unconditionally,
                  -----
irrevocably and expressly promises to pay on January 1, 2008 to
the order of [C] (the "Holder"), the sum [D], together with
                       ------
interest at the rate of 5.00% per annum, compounded annually, all
upon the terms and provisions of this Amended and Restated
Promissory Note (as the same may be supplemented, modified,
amended, restated or replaced from time to time in the manner
provided herein, this "Note").
                       ----

        Payment is to be made to the Holder, at the address for
notices of the Holder set forth below, on such other place as the
Holder may designate in waiting to the Maker, in lawful money of
the United States of America in immediately available funds.

        If any payment of principal on this Note shall become due
on a Saturday, Sunday or public holiday under the laws of the
State of New York, such payment shall be made on the next
succeeding business day.

        The Maker shall have the right, at its option, to prepay
this Note in whole at any time or in part from time to time,
without premium or penalty.

        Notwithstanding the foregoing, the entire unpaid
principal of this Note shall become immediately due and payable
without notice or demand in the event:

  (i)   The Maker shall institute a proceeding to be adjudicated a
        bankrupt or insolvent or admits in writing its inability
        to pay its debts as they mature or makes an assignment for
        the benefit of creditors, or applies for or consents to
        the appointment of a trustee or receiver for himself or
        for the major part of its property;

  (ii)  Any bankruptcy, reorganization, arrangement or insolvency
        proceedings, or other proceeding for relief of debtors is
        instituted against the Maker; or

  (iii) Any trustee or receiver is appointed for the Maker or for
        the major part of its properties.

        In any case in which this Note has become due and payable,
the Holder also may proceed to protect and enforce the Holder's
rights by suit in equity and/or by action at law or equity, or by
other appropriate proceedings, whether for specific performance
(to the extent permitted by law) or otherwise, or proceed to
enforce the payment of this Note or to enforce any other legal or
equitable right of the Holder and, in such event, the Maker
agrees to pay reasonable attorneys' fees and costs incurred by
the Holder in the collection hereof.

                                  2
<PAGE>

        All notices and other communications required or
permitted to be given pursuant to this Note shall be in writing
and shall be considered given in the manner, and be deemed given
at times, as follows: (a) on the date delivered, if personally
delivered; (b) on the next business day after being sent by
recognized overnight mail service specifying next business day
delivery; or (c) five (5) business days after mailing, if mailed
by United States postage-paid certified or registered mail,
return receipt requested, in each case addressed to the following
addresses:

    (A)  To the Maker:

         IPORUSSIA, Inc.12 Tompkins AvenueJericho, New York 71753

    (B)  To the Holder:

         [E]

        The above-named parties may designate by notice to each
other any new address for the purpose of this Note. Refusal to
accept delivery of any item shall be deemed to be receipt of such
item by the refusing party.

        This Note shall be construed and interpreted in
accordance with the laws of the State of New York (other than
those conflict of law rules that would defer to the substantive
laws of another jurisdiction). Maker hereby consents and agrees
that the Supreme Court of the State of New York for the County of
Nassau and the United States District Court for the Eastern
District of New York each shall have personal jurisdiction and
proper venue with respect to any dispute between Maker and Holder
under or related to this Note; provided that the foregoing
                               -------------
consent shall not deprive Holder of the right in its discretion
to voluntarily commence or participate in any proceeding in any
other court having jurisdiction and venue over Maker. Each and
every modification, and amendment of this Note shall be in
writing and signed by Holder and Maker, and each and every waiver
of any term or provision of this Note shall be in writing and
signed by Holder.

        This Note shall be binding upon the successors, assigns
and legal representatives of Maker, but shall not be assigned by
Maker. This Note shall inure to the benefit of the heirs,
executors, administrators, successors, assigns and legal
representatives of Holder and may be assigned by Holder. In the
event that any term or provision of this Note shall be finally
determined to be invalid, illegal or otherwise unenforceable by a
court having jurisdiction and venue, that determination shall not
impair or otherwise affect the validity, legality or
enforceability (a) before that court of the remaining terms and
provisions of this Note or any related document, which shall be
enforced as if the unenforceable term or provision were deleted,
unless the unenforceable term or provision would impair the
practical realization of Holder's principal rights and benefits
hereunder, or (b) by or before any other court or governmental
authority of any of the terms and provisions of this Note or any
related document.

                                  3
<PAGE>

        Maker shall pay or reimburse on demand any and all costs
and expenses incurred by Holder, whether directly or indirectly,
in connection with the administration, maintenance, enforcement
and adjudication of this Note or any related document and the
rights, powers, privileges, remedies and other interests of
Holder hereunder, thereunder and under applicable law, in each
case including (without limitation) the disbursements, expenses
and fees of counsel to Holder and the disbursements, expenses and
fees of any local or special counsel retained by Holder or its
counsel.
        The Maker hereby absolutely, unconditionally, irrevocably
and expressly waives forever presentment, demand, protest, notice
of dishonor, notice of any guaranty or other credit support, and
notice of any renewal or extension of this Note.

        The Maker hereby absolutely, unconditionally, irrevocably
and expressly waives forever trial by jury in any action, suit or
proceeding in any jurisdiction brought by Holder against Maker or
vice versa.

        Holder has not (directly or indirectly) offered, made,
accepted or acknowledged any representation, warranty, promise,
assurance or other agreement or understanding (whether written,
oral, express, implied or otherwise) to, with or for the benefit
of the Maker respecting any of the matters contained in this Note
except for those expressly set forth in this Note. This Note
contains the entire agreement and understanding of Maker and
Holder and supersedes and completely replaces all prior and other
representations, warranties, promises, assurances and other
agreements and understandings (whether written, oral, express,
implied or otherwise) among them with respect to the matters
contained in this Note.

        IN WITNESS WHEREOF, the Maker has duly executed and
delivered this Note as of the day and year first above written.

                          IPORUSSIA, INC.

                          By:/s/ Leonard W. Suroff
                             ---------------------------
                             Leonard W. Suroff
                             Executive Vice President

                                  4
<PAGE>

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