SCHEDULE 14A INFORMATION

          Proxy Statement Pursuant to Section 14(a) of the Securities
                              Exchange Act of 1934
Filed by the Registrant [X]
Filed by a Party other than the Registrant [ ]
Check the appropriate box:

[ ] Preliminary Proxy Statement
[ ] Confidential,  for Use of the  Commission  Only  (as  permitted  by Rule
    14a-6(e)(2))
[X] Definitive Proxy Statement
[ ] Definitive Additional Materials
[ ] Soliciting Material Pursuant to Section 240.14a-11(c) or Section 240.14a-12.


                               VASOMEDICAL, INC.
                (Name of Registrant as Specified in its Charter)

      (Name of Person(s) Filing Proxy Statement, if other than Registrant)

Payment of Filing Fee (Check the appropriate box):

[ X ] No fee required.

 Fee computed on table below per Exchange Act Rules 14a-6(i)(1) and 0-11.

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     to Exchange  Act Rule 0-11 (Set forth the amount on which the filing fee is
     calculated and state how it was determined):

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[ ]  Fee paid previously with preliminary materials.

[ ]  Check box if any part of the fee is offset as provided  by  Exchange  Act
     Rule  0-11(a)(2)  and identify the filing for which the  offsetting fee was
     paid  previously.  Identify the previous filing by  registration  statement
     number, or the Form or Schedule and the date of its filing.

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                               VASOMEDICAL, INC.
                                _______________

                    NOTICE OF ANNUAL MEETING OF STOCKHOLDERS

                                October 28, 2004
                                _______________




To our Stockholders:

     An annual  meeting of  stockholders  will be held at the Beekman  Ballroom,
Beekman Tower Hotel, 3 Mitchell Place,  (northeast corner of 49th Street and 1st
Avenue),  New York, New York 10017 on Thursday,  October 28, 2004,  beginning at
10:00 a.m. At the meeting, you will be asked to vote on the following matters:

     1.   Election of three directors in Class III to hold office until the 2007
          Annual Meeting of Stockholders.

     2.   Ratification  and  approval  of our 2004 Stock  Option/Stock  Issuance
          Plan, as set forth in Exhibit A.

     3.   Ratification  of the  appointment  by the Board of  Directors of Grant
          Thornton LLP as our independent  registered public accounting firm for
          fiscal year 2005.

     4.   Any other matters that properly come before the meeting.

     The above  matters  are set forth in the proxy  statement  attached to this
notice to which your attention is directed.

     If you are a  stockholder  of record at the close of business on  September
20,  2004,  you are  entitled  to vote at the meeting or at any  adjournment  or
postponement  of the meeting.  This notice and proxy  statement  are first being
mailed to stockholders on or about September 27, 2004.

                                By Order of the Board of Directors,

                                        PHOTIOS T. PAULSON
                                     Chief Executive Officer
Dated:  September 27, 2004
        Westbury, New York


     WHETHER  OR NOT YOU PLAN TO ATTEND  THE  ANNUAL  MEETING,  YOU ARE URGED TO
COMPLETE,  SIGN,  DATE AND RETURN THE  ENCLOSED  PROXY CARD IN THE  ACCOMPANYING
PRE-ADDRESSED  POSTAGE-PAID  ENVELOPE AS DESCRIBED  ON THE ENCLOSED  PROXY CARD.
YOUR PROXY,  GIVEN THROUGH THE RETURN OF THE ENCLOSED PROXY CARD, MAY BE REVOKED
PRIOR TO ITS  EXERCISE  BY  FILING  WITH OUR  CORPORATE  SECRETARY  PRIOR TO THE
MEETING A WRITTEN  NOTICE OF REVOCATION OR A DULY EXECUTED PROXY BEARING A LATER
DATE, OR BY ATTENDING THE MEETING,  FILING A WRITTEN  NOTICE OF REVOCATION  WITH
THE SECRETARY OF THE MEETING AND VOTING IN PERSON.


                               VASOMEDICAL, INC.
                               180 Linden Avenue
                          Westbury, New York 11590 USA
                                _______________

                                PROXY STATEMENT
                                _______________

                         ANNUAL MEETING OF STOCKHOLDERS
                           Thursday, October 28, 2004
                                _______________

     Our Annual Meeting of  Stockholders  will be held on Thursday,  October 28,
2004, at the Beekman Ballroom, Beekman Tower Hotel, 3 Mitchell Place, (northeast
corner of 49th Street and 1st  Avenue),  New York,  New York 10017 at 10:00 a.m.
This proxy statement contains  information about the matters to be considered at
the meeting or any adjournments or postponements of the meeting.

                               ABOUT THE MEETING

What is being considered at the meeting?

     You will be voting on the following:

     --   election of three directors in Class III;
     --   approval of our 2004 Stock  Option/Stock  Issuance  Plan ("2004  Stock
          Plan"); and
     --   ratification of the appointment of our independent  registered  public
          accounting firm.

Who is entitled to vote at the meeting?

     You may vote if you owned stock as of the close of  business  on  September
20, 2004. Each share of stock is entitled to one vote.

How do I vote?

        You can vote in three ways:

     --   by attending the meeting
     --   by telephone or internet as described on the enclosed proxy card, or
     --   by completing, signing and returning the enclosed proxy card.

Can I change my mind after I vote?

     Yes,  you may change  your mind at any time before the vote is taken at the
meeting.  You can do this by (1)  signing  another  proxy  with a later date and
returning it to us prior to the meeting or filing with our corporate secretary a
written notice revoking your proxy, or (2) voting again at the meeting.

What if I return my proxy card but do not include voting instructions?

     Proxies that are signed and returned but do not include voting instructions
will be voted FOR the election of the nominee directors, FOR the 2004 Stock Plan
and FOR the appointment of our independent registered public accounting firm.


What does it mean if I receive more than one proxy card?

     It means that you have multiple  accounts with brokers  and/or our transfer
agent.  Please vote all of these  shares.  We  recommend  that you contact  your

                                       1


broker  and/or our transfer  agent to  consolidate  as many accounts as possible
under the same name and address. Our transfer agent is American Stock Transfer &
Trust Co. (718) 921- 8200.

Will my shares be voted if I do not provide my proxy?

     If you hold your shares  directly in your own name,  they will not be voted
if  you do not  provide  a  proxy.  Your  shares  may  be  voted  under  certain
circumstances if they are held in the name of a brokerage firm.  Brokerage firms
generally  have the  authority  to vote  customers'  unvoted  shares on  certain
"routine"  matters,  including the election of directors.  When a brokerage firm
votes its customer's  unvoted  shares,  these shares are counted for purposes of
establishing a quorum. At our meeting,  these shares will be counted as voted by
the  brokerage  firm in the  election of  directors,  approval of our 2004 Stock
Plan, and appointment of our independent  registered public accounting firm, but
will not be counted  for all other  matters to be voted on because  these  other
matters are not considered "routine" under the applicable rules.

How many votes must be present to hold the meeting?

     Your shares are counted as present at the meeting if you attend the meeting
and vote in person or if you properly return a proxy by mail. In order for us to
conduct our meeting,  a majority of our  outstanding  shares as of September 20,
2004,  must be present  at the  meeting.  This is  referred  to as a quorum.  On
September 20, 2004,  there were  58,552,688  shares  outstanding and entitled to
vote.

What vote is required to approve each item?

     The affirmative  vote of a majority of the votes cast at the Annual Meeting
on the  proposal is required for  approval of the  election of  directors,  2004
Stock Plan and the appointment of our independent  registered  public accounting
firm. A properly executed proxy marked "ABSTAIN" with respect to any such matter
will not be voted,  although  it will be counted  for  purposes  of  determining
whether there is a quorum.

                                       2

         SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT

     The following  table sets forth the  beneficial  ownership of shares of our
common  stock  as of  September  21,  2004 of (i)  each  person  known  by us to
beneficially  own 5% or more of the shares of  outstanding  common stock,  based
solely on filings with the Securities and Exchange Commission,  (ii) each of our
executive  officers and directors,  and (iii) all of our executive  officers and
directors as a group. Except as otherwise indicated, all shares are beneficially
owned, and investment and voting power is held by the persons named as owners.


                                                          Common Stock                       % of Outstanding
Name of Beneficial Owner                               Beneficially Owned (2)                     Shares
------------------------                               ----------------------                ----------------
                                                                                            
Alexander G. Bearn, MD............................................113,508                           *
David S. Blumenthal, MD...........................................151,411                           *
Gregory D. Cash...................................................133,332                           *
Abraham E. Cohen..................................................756,411                          1.28%
Thomas W. Fry......................................................41,333                           *
John C. K. Hui, PhD (3).........................................1,434,322                          2.42%
Photios T. Paulson................................................219,333                           *
Kenneth W. Rind, PhD..............................................426,411                           *
E. Donald Shapiro.................................................639,761                          1.09%
Anthony Viscusi.................................................1,648,333                          2.79%
Forrest R. Whittaker...............................................93,333                           *
Martin Zeiger......................................................68,333                           *
Directors and executive officers
  as a group (11 persons).......................................5,592,489                          9.18%
__________

         *        Less than 1% of the Company's Common Stock

(1)  No  officer  or  director  owns more than one  percent  of the  issued  and
     outstanding Common Stock of the Company unless otherwise indicated.

(2)  Includes  beneficial  ownership of the following numbers of shares that may
     be acquired  within 60 days of September 20, 2004 pursuant to stock options
     awarded under the Company's stock option plans:



                                                                          
Alexander G. Bearn              113,508         Photios T. Paulson                   203,333
David S. Blumenthal              77,508         Kenneth W. Rind                       76,411
Gregory D. Cash                      --         E. Donald Shapiro                     43,333
Abraham E. Cohen                491,411         Anthony Viscusi                      533,333
Thomas W. Fry                    33,333         Forrest R. Whittaker                  93,333
John C.K. Hui                   645,000         Martin Zeiger                         63,333
                                                Directors and executive
                                                officers as a group                2,373,836

(3)  Includes  789,322  shares  that are held in a trust for the  benefit of Dr.
     Hui's child. Dr. Hui and his wife are the trustees of this trust.

                                        3

                                  PROPOSAL ONE

                             ELECTION OF DIRECTORS

     Our  certificate  of  incorporation  and  by-laws  provides  for a Board of
Directors consisting of not less than three nor more than eleven directors.  Our
Board of Directors is divided into three  classes,  as nearly equal in number as
possible,  whose  terms of  office  expire  in  successive  years.  Our Board of
Directors consists of ten directors as set forth below:



        Class I                                Class II                             Class III
(To Serve Until the                        (To Serve Until the                  (To Serve Until the
Annual Meeting of                          Annual Meeting of                    Annual Meeting of
Stockholders in 2005)                      Stockholders in 2006)                Stockholders in 2007)
----------------------------------------------------------------------------------------------------------
                                                                          
E. Donald Shapiro (1)(3)                   Abraham E. Cohen (5)                 Alexander G. Bearn, MD (3)
Anthony Viscusi (1)(2)(3)(4)               John C.K. Hui, PhD                   David S. Blumenthal, MD (3)
Martin Zeiger (2)(4)                       Photios T. Paulson (1)               Kenneth W. Rind, PhD (1)(4)
                                           Forrest R. Whittaker (2)(3)
____________________

(1)      Member of the Executive Committee;
(2)      Member of the Audit Committee;
(3)      Member of the Compensation Committee;
(4)      Member of the Corporate Governance Committee; and
(5)      Ex-officio member of all committees.



     Messrs. Bearn,  Blumenthal and Rind, current directors in Class III, are to
be elected to serve until the 2007 Annual Meeting of Stockholders or until their
successors  are duly  elected  and  qualified.  Shares  represented  by executed
proxies in the form enclosed will be voted, unless otherwise indicated,  for the
election as directors of the nominees named in Class III unless any such nominee
shall be unavailable,  in which event such shares will be voted for a substitute
nominee  designated  by the Board of  Directors.  The Board of Directors  has no
reason to believe that any of the nominees will be  unavailable  or, if elected,
will decline to serve.

     Our Board of Directors held four meetings  during our fiscal year ended May
31,  2004.  Each  director  attended  or  participated  in at least  75% of such
meetings of the Board of  Directors.  During the fiscal year ended May 31, 2004,
there were

     --   six meetings of the Audit Committee,
     --   one meeting of the Compensation Committee,
     --   two meetings of the Executive Committee.

     Our Audit Committee is involved in discussions with our independent  public
accountants  with  respect  to the  quarterly  and  year-end  audited  financial
statements,  our  internal  accounting  controls and the  professional  services
furnished by our independent  registered public accounting firm. Our independent
registered  public  accounting  firm  periodically  meet  alone  with the  Audit
Committee and have  unrestricted  access to the committee.  See "Audit Committee
Report." Our Compensation  Committee recommends  executive  compensation and the
granting of stock options to key employees.  See "Compensation  Committee Report
on Executive  Compensation."  Our Executive  Committee was established to advise
the Board of  Directors  and make  recommendations  on matters  relating  to our
business and operations.  Our Corporate  Governance Committee is responsible for
establishing  and  maintaining  procedures  for  receiving,   investigating  and
reporting of information and reports  concerning  alleged violations of our Code
of Business Ethics and Standards of Conduct.

Principal Occupations of Directors

     The  following is a brief account of the business  experience  for at least
the past five years of our directors:

     Alexander G. Bearn, MD (81 years of age) has been a director since November
1994. Dr. Bearn is a physician,  scientist and author who has had  distinguished
careers in academe and industry.  From 1997 through his  retirement in 2001, Dr.

                                       4


Bearn was the Executive  Officer of the American  Philosophical  Society.  Since
1966, Dr. Bearn has also been an adjunct professor at Rockefeller University. He
has also held  positions  as Chairman of the  Department  of Medicine of Cornell
University  Medical  College and Senior Vice President of Medical and Scientific
Affairs at Merck International. He serves on several boards, including the Board
of Trustees of Rockefeller University, the Macy Foundation , both of which he is
Emeritus, and the Howard Hughes Medical Institute.

     David S.  Blumenthal,  MD (54) has been a director  since  June  1994.  Dr.
Blumenthal  has been a  practicing  cardiologist  in the State of New York since
1981 and is a  Clinical  Professor  of  Medicine  at the Weill  Cornell  Medical
College.

     Abraham E. Cohen (68) has been our  Chairman  of the Board  since June 1994
and a director since June 1993, and is presently an independent  consultant.  He
retired in 1992 as Senior Vice President of Merck & Co., Inc., a position he was
elected in 1985.  From 1979 to 1989, Mr. Cohen was also President of Merck Sharp
& Dohme  International,  a division of Merck & Co., Inc. Mr. Cohen is a director
of the following public companies:  Akzo Nobel Nv., Chugai  Pharmaceutical  Co.,
Ltd.,  Neurobiological  Technologies,  Inc. and Teva Pharmaceutical  Industries,
Ltd.

     John C.K. Hui, PhD (58), our Chief Technology Officer,  has been a director
and Senior Vice  President  since  February  1995. Dr. Hui has been an Assistant
Professor in the  Department  of Surgery and Division of Cardiology at the State
University of Stony Brook,  New York since 1978. He has also been a scientist in
the medical department of Brookhaven National Laboratories.  Dr. Hui was CEO and
president of and a principal stockholder in Vasogenics,  Inc. at the time of its
acquisition by us in January 1995.

     Photios T. Paulson (65) has been a director since April 2000 and has served
as our Chief  Executive  Officer  from  October  2002 through June 2003 and from
March 18,  2004 to date.  Mr.  Paulson  has been an advisor  to the health  care
industry  and was Vice  President of  bioMerieux  N.A.  Inc.  from 1995 to 2002.
Between 1992 and 1995, Mr. Paulson was Chairman of bioMerieux Vitek Inc. Between
1987 and 1990,  he was Senior  Advisor,  Health Care  Industry,  for  Prudential
Securities.  Mr. Paulson  previously held senior positions with Becton Dickinson
and Company  through 1987. Mr. Paulson is a director of bioMerieux N.A. Inc. and
Silliker Group Inc.

     Kenneth W. Rind, PhD (69) has been a director since February 1995. Dr. Rind
has been Chairman of Oxford Venture Corporation,  an independent venture capital
company,  since  1981 and in 1998  was a  founding  General  Partner  of  Israel
Infinity Venture Capital Fund.  Previously,  he was responsible for acquisitions
and venture capital  investments at Xerox Development  Corporation and in charge
of technology  investment banking at Oppenheimer & Co., Inc. (now CIBC). He is a
director of several private companies.

     E. Donald Shapiro (72) has been a director  since June 1993,  Vice Chairman
of the  Company  since  January  2000  and is Dean  Emeritus  and was  Dean  and
Professor of The New York Law School  through 2002.  Mr. Shapiro is formerly the
Joseph  Solomon  Distinguished  Professor of Law and is a former Dean of The New
York Law  School,  as well as a  Supernumerary  Fellow of St.  Cross  College at
Oxford University,  England.  He has authored numerous books and articles in the
field of medicine  and law and is a  recipient  of honors and awards both in the
United States and overseas.  Mr.  Shapiro is a director of the following  public
companies: Loral Space and Communications, Inc., Kramont Realty Trust, Frequency
Electronics, Inc., and NSTOR Technologies, Inc.

     Anthony  Viscusi  (71)  has been a  director  since  June  1994 and was our
President and Chief  Executive  Officer from June 1994 through his retirement in
January 2000. Mr. Viscusi was Senior Vice President,  Worldwide  Marketing,  for
the AgVet  division of Merck & Co., Inc. from 1987 to 1993. In 1961, Mr. Viscusi
joined the international  human health division of Merck, in which he spent most
of his career in various general  management  positions,  after having taught at
Columbia, Wesleyan and Princeton universities.

     Forrest  R.  Whittaker  (54) has been a  director  since  April  2000.  Mr.
Whittaker has been President of Teleflex Medical, a division of Teleflex,  Inc.,
since April 2003. Prior thereto,  Mr. Whittaker was President of the Respiratory
Division of Tyco Healthcare from June 2000 through March 2003. Mr. Whittaker was
President and CEO of Paidos Health  Management  Services,  Inc. between 1993 and
2000 and President of Baxter  Healthcare  Corporation's V. Mueller Division from
1989 through 1993.

                                       5


     Martin Zeiger (67) has been a director since October 2001. Mr. Zeiger is an
independent  consultant to the  pharmaceutical  industry.  Mr. Zeiger was Senior
Vice President of Strategic Business  Development for Barr Laboratories,  a drug
manufacturer,  from 1999 through August 2003. From 1987 through 1999, Mr. Zeiger
was Executive Vice President and General Counsel for Rugby Laboratories. In 1993
Marion Merrill Dow acquired Rugby Laboratories.  Mr. Zeiger was a Vice President
of Marion Merrill Dow, Inc. and it's successor Hoechst Marion Roussell, Inc. Mr.
Zeiger is a member of the Heritage  Board of  Directors  of the  American  Heart
Association  in New York and a  founding  director  of the  Larry  King  Cardiac
Foundation.

                                   MANAGEMENT

Our Officers are:


Name                                    Age             Position Held With the Company
----                                    ---             ------------------------------
                                                  
Photios T. Paulson                      65              President and Chief Executive Officer
John C. K. Hui, PhD                     58              Senior Vice President and Chief Technology Officer
Thomas W. Fry                           60              Chief Financial Officer
______________


     Thomas W. Fry, has been Chief  Financial  Officer since  September 8, 2003.
Mr. Fry served as Vice  President,  Finance  and  Administration  of BEI Medical
Systems  Company,  Inc. from September,  1997 until December 2002. From October,
1992  until   November,   1997,  Mr.  Fry  was  Vice   President,   Finance  and
Administration of its predecessor company of the same name which merged into BEI
Medical  Systems  Company,  Inc.  in  November  1997.  Mr. Fry was  employed  by
Disctronics  Ltd.  as  Corporate  Controller  from  1989 to 1992,  by  Cavitron,
Inc./CUSA,   a  medical  device,   engineering  and  manufacturing  company,  as
Controller/CFO  from 1986 to 1989, and by  Cheeseborough-Ponds  International as
Manager of Profit Planning and Manufacturing Controller from 1979 to 1986. Prior
to that  time,  Mr.  Fry  was  employed  by GTE  from  1970  to 1979 in  various
accounting and financial  roles,  including three years as the Controller of GTE
Sylvania in Caracus, Venezuela.

                                       6


Executive Compensation

     The following table sets forth the annual and long-term compensation of our
Chief Executive Officer and each of our most highly  compensated  officers other
than the Chief Executive Officer (the "named executive officers") for the fiscal
years ended May 31, 2004, 2003, and 2002.


                                                      Summary Compensation Table

                                                                                Long Term Compensation
                                                                   ---------------------------------------------------
                                       Annual Compensation                  Awards          Payouts
                              ----------------------------------   ----------------------   ---------
                                                                                  Shares    Long Term
                                                        Other       Restricted   Covered    Incentive
Name and                                                Annual         Stock    By  Option   Plan          All Other
Principal Position     Year     Salary     Bonus     Compensation     Awards     Grants     Payout      Compensation(3)
------------------     ----     ------     -----     ------------   ----------  ----------  ---------   ---------------
                                                                                

Photios T. Paulson(1)  2004     $20,833          -     $30,449         -          25,000       -           $106
CEO                    2003    $148,308          -           -         -         215,000       -              -

Gregory D. Cash (2)    2004    $205,949          -           -         -         300,000       -        $12,261
President & CEO        2003    $131,718          -           -         -         300,000       -         $4,444

John C. K.Hui          2004    $150,000    $25,000           -         -               -       -        $16,796
Senior VP/CTO          2003    $150,000          -           -         -               -       -        $14,136
                       2002    $143,333          -           -         -          50,000       -        $14,503

Thomas W. Fry / CFO    2004    $109,712    $33,333           -         -         100,000       -         $3,000

     (1)  The Board of Directors appointed Photios T. Paulson as Chief Executive
          Officer in October  2002.  Mr.  Paulson  resigned  his  position as an
          officer on June 30, 2003 and was reappointed  Chief Executive  Officer
          in March, 2004 upon the resignation of Gregory D. Cash.
     (2)  The Board of  Directors  appointed  Gregory D. Cash as  President  and
          Chief  Executive  Officer in June 2003 after  serving as President and
          Chief Operating Officer since his employment in October 2002. On March
          26, 2004, Mr. Cash resigned as President and Chief Executive Officer.
     (3)  Represents premiums paid on medical, dental, life and disability group
          benefit  plans,  as well as amounts  matched in the  Company's  401(k)
          Plan.


Option/SAR Grants in Last Fiscal Year

     The following  table sets forth the number of options  granted to our named
executive officers during the fiscal year ended May 31, 2004.


                                                                                            Potential Realizable
                                                                                          Value at Assumed Annual
                                                                                               Rates of Price
                                                 Individual Grants                        Appreciation for Option
                                                                                                    Term
                             ----------------------------------------------------------- ---------------------------
                                  Total
                                Number of
                               Securities        % of           Total
                               Underlying   Options/SARs to   Exercise
                               Options/SAR   Employees in    Expiration
           Name                Granted (#)  Fiscal Year (4)   ($)/Share         Date             5%            10%
           ----                ----------   ---------------  ----------        ----          --------       --------
                                                                                          
Photios T. Paulson             25,000 (1)        5.0%          $1.31          10/29/13        $20,597        $52,195
Gregory D. Cash               300,000 (2)       60.0%           $.92          06/29/13       $173,574       $439,872
Thomas W. Fry                 100,000 (3)       20.0%           $.97          09/07/13        $61,005       $154,594

     (1)  Represents ten-year,  non-qualified stock options under the 1999 Stock
          Option Plan that vest equally over three years commencing  October 30,
          2003 granted to Mr. Paulson as a director of the Company at that time.
          Such vesting is dependent upon continued service to the Company.

     (2)  Represents ten-year,  non-qualified stock options under the 1999 Stock
          Option  Plan that vest  equally  over three years  commencing  July 1,
          2003. Such vesting was dependent upon continued service to the Company
          and was cancelled following Mr. Cash's termination on March 26, 2004.

     (3)  Represents ten-year,  non-qualified stock options under the 1999 Stock
          Option Plan that vest equally over three years commencing September 9,
          2003. Such vesting is dependent upon continued service to the Company.

                                       7

     (4)  Percentages based upon 500,000 shares issued to employees and officers
          of the Company during the fiscal year and exclude 25,000 shares issued
          to Mr.  Paulson  who was a director  of the Company at the time of his
          award.


Aggregated Option/SAR Exercises in Last Fiscal Year and F/Y-End Option Values

     The following table sets forth  information for each of the named executive
officers with respect to the value of options or warrants  exercised  during the
fiscal  year ended May 31,  2004 and the value of  outstanding  and  unexercised
options or warrants held as of May 31, 2004,  based upon the market value of the
common  stock of $1.16 per share on that date.


                                                                                       Value of Unexercised
                                                             Number of Options at      In-the-Money Options
                             Shares Acquired       Value        Fiscal Year End       at Fiscal Year End (2)
Name                         on Exercise (#)  Realized (1)  ExercisableUnexercisable  ExercisableUnexercisable
----                         ---------------  ------------  ------------------------  ------------------------
                                                                                     
Photios T. Paulson                   0              0          183,333      136,667       40,933       24,667
John C. K. Hui                       0              0          628,333       16,667       19,950            0
Gregory D. Cash                      0              0          133,322            0       24,000            0
Thomas W. Fry                        0              0                0      100,000            0       19,000

(1)  Represents the difference between the closing price of the common stock and
     the exercise price of the options on the date of exercise multiplied by the
     number of shares acquired upon exercise.  The calculation  does not reflect
     the effects of any income taxes that may be due on the value realized.
(2)  Represents  the  difference  between the closing market price of the common
     stock at May 31, 2004 of $1.16 per share and the  exercise  price per share
     multiplied by the number of in-the-money options at May 31, 2004.


Employment Agreements

     We maintain an employment  agreement  with Mr. Fry,  expiring  September 7,
2005, and with Dr. Hui,  expiring  January 31, 2005.  The employment  agreements
provide  for an annual  base  salary to  Messrs.  Fry and Hui of  $150,000.  The
employment agreements also provide,  among other things, that in the event there
is a change in our control,  as defined  therein,  or in any person  directly or
indirectly  controlling us, as also defined therein, the employee has the option
to terminate his employment agreement.  Upon such termination,  the employee has
the right to receive as a lump-sum payment certain compensation  remaining to be
paid.

Equity Compensation Plan Information

     The following  chart  summarizes the options and warrants  outstanding  and
available to be issued at May 31, 2004:


                                                                                         Number of securities
                                       Number of securities                            remaining available for
                                        to be issued upon       Weighted-average     future issuance under equity
                                           exercise of         exercise price of    compensation plans (excluding
                                       outstanding options    outstanding options      securities reflected in
           Plan Category                   and warrants           and warrants                column (a))
                                               (a)                    (b)                        (c)
                                                                                     
Equity  compensation  plans approved
by security holders                        2,210,586                 $1.87                      153,168
Equity    compensation   plans   not
approved by security holders               3,151,165                 $2.26                    1,517,169
    Total                                  5,361,751                 $2.10                    1,670,337

Stock Option and Other Plans

        1995 Stock Option Plan

     In May 1995, our  stockholders  approved the 1995 Stock Option Plan for our
officers and employees,  for which we reserved an aggregate of 1,500,000  shares

                                       8


of common stock.  In December 1997,  our Board of Directors  terminated the 1995
Stock Option Plan with respect to new option  grants.  At May 31, 2004,  972,000
options had been granted, of which 571,000 are outstanding under the 1995 Option
Plan.

     Outside Director Stock Option Plan

     In May 1995,  our  stockholders  approved an Outside  Director Stock Option
Plan for our  non-employee  directors,  for which we  reserved an  aggregate  of
300,000  shares of common  stock.  On June 1,  1997,  1996 and 1995,  options to
purchase an aggregate of 39,550  shares,  31,675  shares,  and 77,418  shares of
common stock,  respectively,  at $1.77, $2.21, and $.78 per share, respectively,
were  granted to outside  directors.  In December  1997,  our Board of Directors
terminated  the Outside  Director  Stock  Option Plan with respect to new option
grants.  At May 31,  2004,  85,059  options  are  outstanding  under the Outside
Director Stock Option Plan.

     1997 Stock Option Plan

     In December 1997, our stockholders approved the 1997 Stock Option Plan (the
"1997 Plan") for our officers,  directors,  employees and consultants, for which
we have reserved,  as amended, an aggregate of 2,800,000 shares of common stock.
The 1997 Plan provides that it will be  administered by a committee of our Board
of Directors  and that the committee  will have full  authority to determine the
identity of the  recipients  of the options and the number of shares  subject to
each option.  Options granted under the 1997 Plan may be either  incentive stock
options or  non-qualified  stock options.  The option price shall be 100% of the
fair market  value of the common  stock on the date of the grant (or in the case
of incentive stock options granted to any individual  principal  stockholder who
owns stock possessing more than 10% of the total combined voting power of all of
our voting stock, 110% of such fair market value). The term of any option may be
fixed by the  committee  but in no event shall exceed ten years from the date of
grant.  Options are  exercisable  upon  payment in full of the  exercise  price,
either in cash or in common  stock  valued at fair  market  value on the date of
exercise of the option. The term for which options may be granted under the 1997
Plan expires August 6, 2007. At May 31, 2004, 2,838,000 options had been granted
(including  options  previously  granted but subsequently  cancelled),  of which
1,554,527 are outstanding under the 1997 Plan.

     1999 Stock Option Plan

     In July 1999, our Board of Directors  authorized the 1999 Stock Option Plan
(the "1999 Plan") for our officers,  directors,  employees and consultants,  for
which we have reserved,  as amended,  an aggregate of 5,000,000 shares of common
stock. The 1999 Plan provides that it will be administered by a committee of our
Board of Directors and that the committee  will have full authority to determine
the identity of the  recipients of the options and the number of shares  subject
to each  option.  Options  granted  under the 1999 Plan may be either  incentive
stock options or non-qualified stock options.  The option price shall be 100% of
the fair  market  value of the common  stock on the date of the grant (or in the
case of incentive stock options granted to any individual principal  stockholder
who owns stock  possessing  more than 10% of the total combined  voting power of
all of our voting stock, 110% of such fair market value). The term of any option
may be fixed by the  committee  but in no event shall  exceed ten years from the
date of grant.  Options are  exercisable  upon  payment in full of the  exercise
price, either in cash or in common stock valued at fair market value on the date
of exercise of the option.  The term for which  options may be granted under the
1999 Plan  expires July 12, 2009.  At May 31, 2004,  5,032,100  options had been
granted,  (including options previously granted but subsequently cancelled),  of
which 2,951,165 are outstanding under the 1999 Plan.

     401(k) Plan

     In April 1997,  we adopted  the  Vasomedical,  Inc.  401(k) Plan to provide
retirement  benefits for its  employees.  As allowed under Section 401(k) of the
Internal  Revenue Code,  the plan provides  tax-deferred  salary  deductions for
eligible  employees.  Employees are eligible to  participate in the next quarter
enrollment   period   after   employment.   Participants   may  make   voluntary
contributions to the plan up to 100% of their compensation. In fiscal year 2004,
2003 and 2002, the Company made  discretionary  contributions  of  approximately
$35,535,  $35,000 and $20,000,  respectively,  to match a percentage of employee
contributions.

        Shareholder Rights Plan

     In March 1995, our Board of Directors  approved a Shareholder  Rights Plan,
under which a dividend  distribution of one Right for each outstanding  share of

                                       9


our common stock is authorized.  Each Right will entitle  stockholders of record
on May 9, 1995 to purchase  one-half  share of Common Stock at a 50% discount to
market price if a person or group acquires 20% or more of our outstanding stock.
At present,  we are not aware of any such person or group seeking to acquire 20%
or more of our outstanding common stock.

Director's Compensation

     It has been our policy to grant fees of $1,500 per meeting to each  outside
director who attends a regularly  scheduled  or special  meeting of its Board of
Directors.  Fees for committee meetings are $1,000 per meeting if the meeting is
held on a  different  day than the Board  meeting.  In  addition,  we  reimburse
out-of-state  directors  for their  cost of travel and  lodging  to attend  such
meetings.

        Our compensation structure for outside directors also includes:

     --   a  one-time  grant of 50,000  non-qualified  stock  options to outside
          directors issued on the date of their initial appointment to our Board
          of  Directors  at the  closing  price on the issue date and vesting in
          three equal annual  increments  commencing on the first anniversary of
          the grant and contingent  upon their  continued  service on our Board;
          and

     --   an automatic  annual grant of 25,000  non-qualified  stock  options to
          outside  directors  issued  on the  date  of  our  Annual  Meeting  of
          Stockholders  at the  closing  price on the issue date and  vesting in
          three equal annual  increments  commencing on the first anniversary of
          the grant and contingent upon their continued service on our Board.

Limitation on Liability of Officers and Directors

     We have entered into  indemnification  agreements  with each of our current
officers and directors pursuant to which we have agreed,  among other things, to
indemnify  these  officers  and  directors  to the fullest  extent  permitted by
Delaware law.

Compensation Committee Interlocks and Insider Participation

     During fiscal 2004, our Compensation  Committee consisted of Messrs. Bearn,
Blumenthal,  Shapiro,  Viscusi,  and  Whittaker.  None of these persons were our
officers or employees during fiscal 2004 or, except as otherwise disclosed,  had
any relationship requiring disclosure in this Proxy Statement.

In accordance with rules promulgated by the Securities and Exchange  Commission,
the information  included under the caption  "Compensation  Committee  Report on
Executive Compensation" will not be deemed to be filed or to be proxy-soliciting
material or  incorporated  by  reference  in any prior or future  filings by the
Company under the Securities Act of 1933 or the Securities Exchange Act.

            COMPENSATION COMMITTEE REPORT ON EXECUTIVE COMPENSATION

     The compensation of our executive  officers is generally  determined by the
Compensation  Committee  of  our  Board  of  Directors,  subject  to  applicable
employment  agreements.  Each member of the Compensation Committee is a director
who is not our employee or an employee of any of our  affiliates.  The following
report with  respect to certain  compensation  paid or awarded to our  executive
officers  during  fiscal 2004 is furnished by the  directors  who  comprised the
Compensation Committee during fiscal 2004.

Executive Compensation Objectives

     Our compensation  programs are intended to enable us to attract,  motivate,
reward and retain the management talent required to achieve corporate objectives
and thereby increase  shareholder  value. It is our policy to provide incentives
to its senior management to achieve both short-term and long-term objectives and
to reward  exceptional  performance and  contributions to the development of our
business.  To  attain  these  objectives,  our  executive  compensation  program
includes a  competitive  base salary,  cash  incentive  bonuses and  stock-based
compensation.

                                       10


     Stock options are granted to employees,  including our executive  officers,
by the  Compensation  Committee  under our 1999 Stock Option Plan. The Committee
believes that stock options  provide an incentive  that focuses the  executive's
attention on managing us from the  perspective  of an owner with an equity stake
in the business.  Options are awarded with an exercise price equal to the market
value of common stock on the date of grant, have a maximum term of ten years and
generally become  exercisable,  in whole or in part,  starting one year from the
date of grant.  Among our executive  officers,  the number of shares  subject to
options  granted to each  individual  generally  depends  upon the level of that
officer's  responsibility.  The  largest  grants are  awarded to the most senior
officers  who,  in the view of the  Compensation  Committee,  have the  greatest
potential  impact on our  profitability  and  growth.  Previous  grants of stock
options  are  reviewed  but are not  considered  the most  important  factor  in
determining the size of any executive's stock option award in a particular year.

     From time to time,  the  Compensation  Committee  intends  to  utilize  the
services  of   independent   consultants   to  perform   analyses  and  to  make
recommendations to the Committee relative to executive  compensation matters. No
compensation consultant has so far been retained.

Relationship of Compensation to Performance and  Compensation of Chief Executive
Officer and Chief Financial Officer

     The Compensation Committee annually establishes, subject to the approval of
the Board of Directors and any applicable  employment  agreements,  the salaries
that will be paid to our executive  officers  during the coming year. In setting
salaries,  the  Compensation  Committee  takes  into  account  several  factors,
including  competitive  compensation data, the extent to which an individual may
participate in the stock plans maintained by us, and qualitative factors bearing
on an  individual's  experience,  responsibilities,  management  and  leadership
abilities, and job performance.

     Effective September 8, 2003, the Board of Directors appointed Thomas W. Fry
as Chief Financial Officer and entered into an employment  agreement with him at
a base annual  salary of  $150,000.  On March 18,  2004,  the Board of Directors
reappointed  Photios T. Paulson, a director,  to the position of Chief Executive
Officer as a replacement  for Mr.  Gregory Cash who had resigned.  The Committee
authorized a base salary of $250,000 to Mr. Paulson. The Compensation  Committee
determined  that  the  compensation  payable  to  Messrs.  Fry and  Paulson  was
appropriate  in light of their  positions  with  the  Company  and  based on the
compensation level of executives in similar positions.

     Our Compensation Committee:

                Alexander G. Bearn
                David S. Blumenthal
                E. Donald Shapiro, Chairman
                Anthony Viscusi
                Forrest R. Whittaker

                             AUDIT COMMITTEE REPORT

     The Board of Directors has appointed an Audit Committee consisting of three
non-employee  directors.  The current members of the Audit Committee satisfy the
independence  requirements  and other  established  criteria by the Nasdaq Stock
Market,  Inc. and the  Securities and Exchange  Commission.  We intend to comply
with future audit committee requirements as they become applicable to us.

     As required by its written charter,  which sets forth its  responsibilities
and duties,  the Audit  Committee has reviewed and discussed  with the Company's
independent  public  accountants,  the  matters  required  to  be  discussed  by
Statement on Auditing Standards No. 61, Communication with Audit Committees,  as
amended. The Audit Committee Charter is set forth as Exhibit B.

     The Audit Committee has also received and reviewed the written  disclosures
and the letter from the independent public accountants  required by Independence
Standard No. 1, Independence  Discussions with Audit Committees,  as amended, by
the  Independence  Standards  Board,  and has  discussed  with  the  independent
registered public accounting firm their independence.

                                       11


     Based on the reviews and discussions referred to above, the Audit Committee
recommended to the Board of Directors that the financial  statements referred to
above be included in the Company's Annual Report on Form 10-K for the year ended
May 31, 2004 for filing with the Securities and Exchange Commission.

     The audit  committee  has also received and reviewed the fees paid to Grant
Thornton LLP during the last fiscal year for audit and non-audit services, which
are set forth below and has  considered  whether the  provision of the non-audit
services is compatible with  maintaining  Grant Thornton LLP's  independence and
concluded that it is.

        Our Audit Committee:

                Forrest R. Whittaker, Chairman
                Anthony Viscusi
                Martin Zeiger

Audit Committee Financial Expert

     The members of the audit committee have substantial experience in assessing
the  performance  of companies,  gained as members of our board of directors and
audit committee,  as well as by serving in various capacities in other companies
or  governmental  agencies.  As a result,  they each  have an  understanding  of
financial  statements.  However,  none of them keep  current  on all  aspects of
generally accepted accounting  principles.  Accordingly,  the board of directors
does not consider  any of them to be a financial  expert as that term is defined
in applicable  regulations.  Nevertheless,  the board of directors believes that
they competently  perform the functions required of them as members of the audit
committee and, given their backgrounds, it would not be in our best interests to
replace  any of them  with  another  person  to  qualify  a member  of the audit
committee as a financial expert.

Audit Fees

     For fiscal 2004 and 2003,  Grant Thornton  LLP's audit and accounting  fees
were approximately $179,000 and $183,000, respectively.

Tax Service Fees

     Aggregate fees incurred in connection  with tax services  rendered by Grant
Thornton  LLP for fiscal 2004 and 2003 were  approximately  $47,000 and $28,000,
respectively,  incurred  primarily for the  preparation of federal and state tax
returns.

All Other Fees

     Aggregate  fees for all other  services  rendered by Grant Thornton LLP for
fiscal  2004 and 2003  were  approximately  $9,000  and  $60,000,  respectively,
incurred in connection  with SEC and other related  consulting  services.  Grant
Thornton had no financial  information  systems design and  implementation  fees
during fiscal 2004.

          COMPLIANCE WITH SECTION 16(a) OF THE SECURITIES EXCHANGE ACT

     Section  16(a)  of  the  Exchange  Act  requires  our  executive  officers,
directors and persons who own more than ten percent of a registered class of our
equity securities ("Reporting Persons") to file reports of ownership and changes
in ownership  on Forms 3, 4 and 5 with the  Securities  and Exchange  Commission
(the "SEC") and the  National  Association  of  Securities  Dealers,  Inc.  (the
"NASD").  These  Reporting  Persons are required by SEC regulation to furnish us
with  copies of all Forms 3, 4 and 5 they file with the SEC and the NASD.  Based
solely  upon our review of the copies of the forms it has  received,  we believe
that  all  Reporting  Persons  complied  on  a  timely  basis  with  all  filing
requirements applicable to them with respect to transactions during fiscal 2004.

                           CODE OF ETHICS DISCLOSURE

     We have  adopted a Corporate  Code of Business  Ethics  (the  "Code")  that
applies to all of our employees,  officers and  directors.  It is broad in scope
and is  intended  to foster  honest  and  ethical  conduct,  including  accurate

                                       12


financial  reporting,  compliance  with laws and the like. It does not expressly
cover  certain   procedural  matters  covered  by  the  Sarbanes-Oxley  Act  and
regulations  promulgated  thereunder  and may not  constitute a "code of ethics"
within the meaning of the law and regulations.  Accordingly,  we have adopted an
additional  code of ethics  that  covers our senior  executive  officers  and is
intended  to  comply  with the new law and  regulations.  The "Code of Ethics --
Chief Executive and Chief Financial  Officers" is set forth as Exhibit B to this
proxy statement.

                                       13



                               PERFORMANCE GRAPH

     The  following  graph  sets  forth  the  cumulative  total  return*  to the
Company's stockholders during the five-year period ended May 31, 2004 as well as
an overall stock market index (NASDAQ Stock Market Index) and the Company's peer
group index (S&P Health Care Equipment):


                 COMPARISON OF 5 YEAR CUMULATIVE TOTAL RETURN*
          AMONG VASOMEDICAL, INC. THE NASDAQ STOCK MARKET (U.S) INDEX
                   AND THE S & P HEALTH CARE EQUIPMENT INDEX



                                                                          Cumulative Total Return
                                                   -----------------------------------------------------------------------
                                                          5/99        5/00        5/01        5/02        5/03        5/04
                                                                                                  
VASOMEDICAL, INC.                                       100.00      312.21      307.52      138.93       84.30       90.54
NASDAQ STOCK MARKET (U.S.)                              100.00      161.64       83.42       68.28       60.58       82.80
S & P HEALTH CARE EQUIPMENT                             100.00      111.55      109.86      119.37      123.88      160.61

*$100 invested on 5/13/99 in stock or index-including reinvestment of dividends.  Fiscal year ending May 31.


                                       14


                                  PROPOSAL TWO

                    PROPOSAL TO ADOPT THE VASOMEDICAL, INC.
                      2004 STOCK OPTION/STOCK ISSUANCE PLAN

Introduction

     At the meeting, you will be asked to adopt the Vasomedical, Inc. 2004 Stock
Option/Stock  Issuance Plan (the "2004 Stock Plan").  The board adopted the 2004
Stock Plan in July 2004,  subject to stockholder  approval,  covering  2,500,000
shares.

     We believe that our long-term  success  depends upon our ability to attract
and retain  qualified  directors,  officers,  employees and  consultants  and to
motivate  their best  efforts on our  behalf.  Our  directors,  officers,  other
employees and  consultants,  as well as those of our subsidiaries or affiliates,
are  eligible to  participate  in the 2004 Stock Plan.  We believe that the 2004
Stock  Plan  has  been  and  will  continue  to  be an  important  part  of  our
compensation of directors,  officers,  employees and  consultants,  particularly
since  as of  August  31,  2004,  we only  had  approximately  1,035,670  shares
available for grant under our other existing stock option plans.

     The 2004 Stock Plan is set forth as Exhibit A to this proxy statement.  The
principal  features of the 2004 Stock Plan are summarized below, but the summary
is qualified in its entirety by the full text of the 2004 Stock Plan.

Stock Subject to the 2004 Stock Plan

     The stock to be offered under the 2004 Stock Plan consists of shares of our
common stock, whether authorized but unissued or reacquired. The 2004 Stock Plan
is divided  into two separate  equity  programs:  an option grant  program and a
stock  issuance  program.  Options  granted  under the 2004  Stock Plan shall be
non-qualified  or incentive  stock  options and the  exercise  price is the fair
market value of the common stock on the date of grant except that for  incentive
stock options it shall be 110% of the fair market value if the participant  owns
10% or more of our common stock. Under the stock issuance program,  the purchase
price per share shall be fixed by the board of directors or committee but cannot
be less than the fair market  value of the common  stock on the  issuance  date.
Payment  for the shares may be made in cash or check  payable to us, or for past
services  rendered to us and all shares of common stock issued  thereunder shall
vest upon issuance  unless  otherwise  directed by the board or  committee.  The
number of shares issuable is also subject to adjustments  upon the occurrence of
certain   events,   including   stock   dividends,    stock   splits,   mergers,
consolidations,    reorganizations,    recapitalizations,   or   other   capital
adjustments.  As of May 31, 2004, no options or shares had been issued under the
2004 Stock Plan.

Administration of the 2004 Stock Plan

     The 2004 Stock Plan is to be  administered  by our board of directors,  the
compensation  committee or a stock option committee  consisting of no fewer than
two "non-employee directors," as defined in the Securities Exchange Act of 1934.
We expect that our compensation committee will administer the 2004 Stock Plan.

     Subject to the terms of the 2004 Stock Plan, the board or the committee may
determine and designate the  individuals  who are to be granted stock options or
qualify to purchase shares of common stock under the 2004 Stock Plan, the number
of shares to be subject to options or to be  purchased  and the nature and terms
of the options to be granted.  The board or the committee  also has authority to
interpret the 2004 Stock Plan and to prescribe,  amend and rescind the rules and
regulations  relating to the 2004 Stock Plan.  The committee may amend or modify
any grant in any manner not inconsistent with the terms of the 2004 Stock Plan.

Grant of Options

     Our directors, officers, employees and consultants, as well as those of our
subsidiaries or affiliates, are eligible to participate in the 2004 Stock Plan.

                                       15

     Options  granted  under  the 2004  Stock  Plan  shall be  non-qualified  or
incentive  stock options and the exercise  price is the fair market value of the
common stock on the date of grant  except that for  incentive  stock  options it
shall be 110% of the fair market  value if the  participant  owns 10% or more of
our common  stock.  The committee  must adjust the option price,  as well as the
number  of  shares  subject  to  option,  in the  event of stock  splits,  stock
dividends,  recapitalization  and certain other events involving a change in our
capital.  Because of the discretionary nature of grants under the 2004 Plan, the
number,  names and positions of persons who may be granted awards under the 2004
Plan and the awards that might be granted to them are not known at this time.

Exercise of Stock Options

     Stock options granted under the 2004 Stock Plan shall expire not later than
ten years from the date of grant.

     Stock options  granted under the 2004 Stock Plan may become  exercisable in
one or more installments in the manner and at the time or times specified by the
committee.

     Upon the exercise of a stock option,  optionees may pay the exercise  price
in cash,  by certified or bank  cashiers  check or, at our option,  in shares of
common  stock  valued at its fair  market  value on the date of  exercise,  or a
combination of cash and stock. Withholding and other employment taxes applicable
to the  exercise of an option  shall be paid by the optionee at such time as the
board or the committee  determines that the optionee has recognized gross income
under  the  Internal  Revenue  Code of 1986,  as  amended,  resulting  from such
exercise. These taxes may, at our option, be paid in shares of common stock.

     A stock option is exercisable during the optionee's lifetime only by him or
his  permitted  transferee  and  cannot  be  exercised  by him or his  permitted
transferee  unless,  at all  times  since  the date of grant  and at the time of
exercise,  he  is  employed  by  us,  any  parent  corporation  or  any  of  our
subsidiaries  or  affiliates,  except that,  upon  termination of his employment
(other  than (1) by  death,  (2) by total  disability  followed  by death in the
circumstances  provided  below or (3) by total  disability),  an  option  may be
exercised  for a period of three months after this  termination  but only to the
extent  such  option  is  exercisable  on the date of such  termination.  In the
discretion of the  committee,  options may be  transferred to (1) members of the
optionee's  family,  (2) a trust,  (3) a family  limited  partnership  or (4) an
estate planning vehicle primarily for the optionee's family.

     Upon termination of all employment by total disability, the optionee or his
permitted  transferee may exercise such options at any time within twelve months
after his termination,  but only to the extent such option is exercisable on the
date of such termination.

     In the event of the death of an  optionee  (1)  while our  employee,  or an
employee of any parent  corporation or any  subsidiary or affiliate,  (2) within
three months after termination of all employment or provision of services (other
than for total  disability)  or (3) within  twelve months after  termination  on
account of total disability of all employment with us, any parent corporation or
any subsidiary or affiliate,  the  optionee's  estate or any person who acquires
the right to exercise such option by bequest or  inheritance or by reason of the
death of the optionee may exercise the optionee's  option at any time within the
period of twelve  months from the date of death.  In the case of clauses (1) and
(3) above,  the option shall be exercisable in full for all the remaining shares
covered by it, but in the case of clause  (2) the  option  shall be  exercisable
only to the  extent  it was  exercisable  on the  date of  such  termination  of
employment.

Stock Issuance Program

     Shares of common stock may, upon request by a participant, be issued at the
discretion of the board or committee  under the stock issuance  program  through
direct and immediate  issuances.  Each such stock issuance shall comply with the
terms specified below.

        Purchase Price
        --------------

     a.   The purchase  price per share shall be fixed by the board of directors
          or  committee  but shall not be less  than the fair  market  value per
          share of common stock on the issue date.

     b.   Subject to the  provisions  of the 2004 Stock  Plan,  shares of common
          stock may be issued for any of the  following  items of  consideration
          which the board or committee may deem  appropriate in each  individual
          instance:

                                       16


          (i)  cash or check made payable to us; or
          (ii) past services rendered to us (or any parent or subsidiary).

        Vesting Provisions
        ------------------

     a.   Shares of common stock issued under the stock  issuance  program shall
          vest at the discretion of the board or committee.

     b.   The participant shall have full stockholder rights with respect to any
          shares  of common  stock  issued  to the  participant  under the stock
          issuance program.

     c.   Accordingly,  the participant shall have the right to vote such shares
          and to receive any regular cash dividends paid on such shares.

Change in Control

     All unvested options shall automatically vest in full if and when either of
the following  stockholder approved transactions to which the company is a party
are consummated:  (i) a merger or  consolidation in which securities  possessing
more  than  fifty  percent  (50%)  of the  total  combined  voting  power of the
company's  outstanding  securities  are  transferred  to  a  person  or  persons
different from the persons holding those  securities  immediately  prior to such
transaction,  or  (ii)  the  sale,  transfer  or  other  disposition  of  all or
substantially all of the company's assets in complete liquidation or dissolution
of the company.  However,  the shares subject to an outstanding option shall not
vest on such an  accelerated  basis if and to the  extent:  (i) such  option  is
assumed  by  the  successor   company  (or  parent  thereof)  in  the  corporate
transaction or (ii) such option is to be replaced with a cash incentive  program
of the  successor  company which  preserves the spread  existing on the unvested
option  shares  at the  time  of the  corporate  transaction  and  provides  for
subsequent  payout in accordance  with the same vesting  schedule  applicable to
those unvested option shares or (iii) the acceleration of such option is subject
to other limitations imposed by the board or committee at the time of the option
grant.

U.S. Federal Tax Matters

     Restricted Stock.  Employees generally recognize as taxable income the fair
market value of restricted stock on the date the restricted  period ends. We are
entitled to a corresponding tax deduction at the same time.

     Stock Options.  Stock options may be granted in the form of incentive stock
options or non-qualified stock options. Incentive stock options are eligible for
favorable tax treatment under the U.S.  Internal  Revenue Code (the "Code").  To
meet the Code  requirements,  the maximum value of incentive  stock options that
first become exercisable in any one year is limited to $100,000. Under the Code,
persons do not  realize  compensation  income  upon the grant of a stock  option
(whether an incentive stock option or non-qualified  stock option).  At the time
of  exercise  of  a  non-qualified   stock  option,   the  holder  will  realize
compensation  income in the amount of the spread  between the exercise  price of
the option and the fair market  value of our stock on the date of  exercise.  At
the time of exercise of an incentive  stock option,  no  compensation  income is
realized  other than "tax  preference  income" for  purposes of the  alternative
minimum tax. If the shares acquired on exercise of an incentive stock option are
held  for at least  two  years  after  grant of the  option  and one year  after
exercise, the excess of the amount realized on sale over the exercise price will
be taxed as capital gains.  If the shares  acquired on exercise of the incentive
stock  option are disposed of within less than two years after grant or one year
of exercise, the holder will realized compensation income equal to the excess of
the fair market value of shares on the date of exercise  over the option  price.
Additional amounts realized will be taxed as capital gains. We will generally be
entitled  to a  deduction  under  the Code at the time  equal to the  amount  of
compensation income realized by the holder of an option.

Recommendation of the Board

     Our board of directors believes that it is in our best long-term  interests
to have available for issuance under a stock option plan a sufficient  number of
shares to attract, retain and motivate our highly qualified officers, employees,
directors  and  consultants  by  tying  their  interests  to  our  stockholders'
interests.

     The  affirmative  vote of a majority of the votes cast on this  proposal in
person  or  by  proxy  at  the  Annual  Meeting  is  required  for  approval  by
stockholders of the 2004 Stock Plan

     We recommend a vote FOR approval of the 2004 Stock Plan.

                                       17


                                 PROPOSAL THREE

       PROPOSAL TO APPOINTMENT OF INDEPENDENT REGISTERED ACCOUNTING FIRM

General

     The board of directors,  upon the  recommendation  of the audit  committee,
recommends that the  stockholders  approve the appointment of Grant Thornton LLP
as our company's  independent  registered  public  accounting  firm to audit our
financial statements for the fiscal/ year ending May 31, 2005.

Board Position and Required Vote

     The proposal will be adopted only if it receives the affirmative  vote of a
majority of the votes cast at the Annual Meeting on this proposal.  The board of
directors  recommends a vote FOR the  ratification  of the  appointment of Grant
Thornton, LLP as our independent registered public accounting firm.


              FINANCIAL STATEMENTS AND INCORPORATION BY REFERENCE

     A copy of our Annual Report to  Stockholders  for the fiscal year ended May
31,  2004  has  been  provided  to  all  stockholders  as of  the  Record  Date.
Stockholders  are  referred to the report for  financial  and other  information
about us, but such report,  is not  incorporated  in this proxy statement and is
not a part of the proxy soliciting material.

                           MISCELLANEOUS INFORMATION

     As of the date of this Proxy  Statement,  the Board of  Directors  does not
know of any business other than that specified above to come before the meeting,
but, if any other  business  does  lawfully  come before the meeting,  it is the
intention of the persons named in the enclosed  Proxy to vote in regard  thereto
in accordance with their judgment.

     We will pay the cost of  soliciting  proxies in the  accompanying  form. In
addition  to  solicitation  by use of the  mails,  certain of our  officers  and
regular  employees  may  solicit  proxies by  telephone,  telegraph  or personal
interview.  We may also  request  brokerage  houses  and  other  custodians  and
nominees  and  fiduciaries,  to forward  soliciting  material to the  beneficial
owners of stock held of record by such persons,  and may make  reimbursement for
payments  made for their  expense  in  forwarding  soliciting  material  to such
beneficial owners.

     Proposals  of  stockholders  intended  to be  presented  at the 2005 Annual
Meeting of  Stockholders  pursuant  to SEC Rule 14a-8  must be  received  at our
principal  office  not  later  than May 12,  2005 to be  included  in the  proxy
statement for that meeting.


                             By Order of the Board of Directors,

                                    PHOTIOS T. PAULSON
                                  Chief Executive Officer

Dated:  September 27, 2004
        Westbury, New York

                                       18


                                                                       Exhibit A


            VASOMEDICAL, INC., 2004 STOCK OPTION/STOCK ISSUANCE PLAN
            --------------------------------------------------------

I.  GENERAL PROVISIONS
    ------------------

A.      PURPOSE OF THE PLAN
        -------------------

     This 2004 Stock Option/Stock  Issuance Plan ("Plan") is intended to promote
the interests of VASOMEDICAL,  INC., a Delaware corporation ("Corporation"),  by
providing  eligible  persons in the employ or service of the  Corporation or its
affiliates with the opportunity to acquire a proprietary  interest, or otherwise
increase their proprietary interest, in the Corporation as an incentive for them
to continue in such employ or service.

     Unless  otherwise  defined  herein,  all  capitalized  terms shall have the
meaning assigned to them in the attached Appendix.

B.      STRUCTURE OF THE PLAN
        ---------------------

        The Plan shall be divided into two (2) separate equity programs:

     (i)  the Option Grant Program under which  eligible  persons  ("Optionees")
          may, at the  discretion of the Board,  be granted  options to purchase
          shares of common stock; and

     (ii) the   Stock   Issuance    Program   under   which   eligible   persons
          ("Participants") may, at the discretion of the Board, be issued shares
          of common stock  directly,  either  through the immediate  purchase of
          such shares or as a bonus for services  rendered the  Corporation  (or
          any Parent or Subsidiary).

     The provisions of Articles One and Four shall apply to both equity programs
under the Plan and shall  accordingly  govern the interests of all persons under
the Plan.

C.      ADMINISTRATION OF THE PLAN
        --------------------------

     The Plan shall be  administered  by the  Corporation's  Board of  Directors
("Board"),  or in the discretion of the Board, a committee consisting of no less
than two  Non-Employee  Directors or persons meeting such other  requirements as
may be imposed by Rule 16(b) under the 1934 Act ("Committee").

     The Board or Committee shall have full power and authority  (subject to the
provisions of the Plan) to establish  such rules and  regulations as it may deem
appropriate   for   proper   administration   of  the  Plan  and  to  make  such
determinations  under,  and  issue  such  interpretations  of,  the Plan and any
outstanding  options or stock  issuances  thereunder as it may deem necessary or
advisable.  Decisions of the Board shall be final and binding on all parties who
have an interest in the Plan or any option or stock issuance thereunder.

                                      A-1

D.      ELIGIBILITY
        -----------

     The persons eligible to participate in the Plan are:

1.   Employees;

2.   non-employee  members of the Board or the non-employee members of the board
     of directors of any Parent or Subsidiary; and

3.   consultants  and other  independent  advisors  who provide  services to the
     Corporation, or any parent or subsidiary of the Corporation.

     The Board or Committee  shall have full  authority to  determine,  (i) with
respect to the grants made under the Option Grant Program,  described in Article
Two below,  which eligible persons are to receive the option grants, the time or
times  when those  grants are to be made,  the number of shares to be covered by
each such grant,  the status of the granted option as either an Incentive Option
or a  Non-Statutory  Option,  the time or times  when  each  option is to become
exercisable,  the vesting  schedule (if any) applicable to the option shares and
the maximum  term for which the option is to remain  outstanding,  and (ii) with
respect to stock issuances made under the Stock Issuance  Program,  described in
Article Three,  which eligible persons are to receive such stock issuances,  the
time or times when those  issuances  are to be made,  the number of shares to be
issued to each  Participant,  the vesting  schedule (if any)  applicable  to the
issued  shares  and the  consideration  to be paid by the  Participant  for such
shares.

     The Board or Committee shall have the absolute  discretion  either to grant
options  in  accordance  with the  Option  Grant  Program  or to issue  stock in
accordance with the Stock Issuance Program.

E.   STOCK SUBJECT TO THE PLAN
     -------------------------

     The  stock  issuable  under the Plan  shall be shares of the  Corporation's
authorized but unissued or reacquired common stock. The maximum number of shares
of common stock which may be issued under the Plan is 2,500,000 shares.

     Shares of common stock  subject to  outstanding  options shall be available
for  subsequent  issuance under the Plan to the extent (i) the options expire or
terminate  for any reason  prior to  exercise  in full,  or (ii) the options are
cancelled in accordance with the cancellation-regrant provisions of Article Two.
Unvested  shares  issued  under  the Plan and  subsequently  repurchased  by the
Corporation,  at the  option  exercise  or direct  issue  price  paid per share,
pursuant to the  Corporation's  repurchase  rights under the Plan shall be added
back to the number of shares of common stock  reserved  for  issuance  under the
Plan.

     If there is any  change to the common  stock by reason of any stock  split,
stock dividend,  recapitalization,  combination of shares, exchange of shares or
other change  affecting  the  outstanding  common  stock as a class  without the
Corporation's  receipt of consideration,  then appropriate  adjustments shall be
made to (i) the maximum  number  and/or class of securities  issuable  under the
Plan,  and (ii) the number and/or class of securities and the exercise price per
share in effect under each  outstanding  option in order to prevent the dilution
or enlargement of benefits thereunder.

                                      A-2


                            II. OPTION GRANT PROGRAM

A.      OPTION TERMS
        ------------

     Each  option  shall  be  evidenced  by one or more  documents  in the  form
approved by the Board, and which shall be subject to the provisions of the Plan.

     1.   Exercise Price.

          a.   The  exercise  price  per  share  shall be fixed by the  Board in
               accordance with the following provisions:

               (i)  The exercise price per share shall not be less than the Fair
                    Market  Value per share of common  stock on the option grant
                    date.

               (ii) If the  Optionee  is a 10%  Stockholder,  then the  exercise
                    price per  share  shall  not be less  than one  hundred  ten
                    percent  (110%) of the Fair Market Value per share of common
                    stock on the option grant date for Incentive Options.

          b.   The  exercise  price is payable in cash or check made  payable to
               the  Corporation  upon  exercise  of the  option,  subject to the
               provisions  of  Section  I of  Article  Four  and  the  documents
               evidencing  the option.  If the common stock is registered  under
               Section 12 of the  Securities  Exchange  Act of 1934,  as amended
               ("34 Act") at the time the option is exercised, then the exercise
               price may also be paid as follows:

               (i)  in shares  of common  stock  held for the  requisite  period
                    necessary  to avoid a charge to the  Corporation's  earnings
                    for financial  reporting  purposes and valued at Fair Market
                    Value on the Exercise Date, or

               (ii) to the  extent the option is  exercised  for vested  shares,
                    through a special sale and remittance  procedure pursuant to
                    which the Optionee shall  concurrently  provide  irrevocable
                    instructions (x) to a Corporation-designated  brokerage firm
                    to effect the  immediate  sale of the  purchased  shares and
                    remit to the Corporation, out of the sale proceeds available
                    on the  settlement  date,  sufficient  funds  to  cover  the
                    aggregate  exercise  price payable for the purchased  shares
                    plus all  applicable  Federal,  state and local  income  and
                    employment  taxes required to be withheld by the Corporation
                    by reason of such  exercise  and (y) to the  Corporation  to
                    deliver the  certificates  for the purchased shares directly
                    to such brokerage firm in order to complete the sale.

                                      A-3


     Except to the extent the foregoing sale and  remittance  procedure is used,
payment  of the  exercise  price for the  purchased  shares  must be made on the
Exercise Date.

     2. Exercise and Term of Options.  Each option shall be  exercisable at such
time or times,  during  such  period  and for such  number of shares as shall be
determined by the Board or Committee  and set forth in the documents  evidencing
the option  grant.  However,  no option  shall have a term in excess of ten (10)
years measured from the option grant date.

     3. Effect of Termination of Service.

          a.   The following  provisions shall govern the exercise of any vested
               option  held  by  the  Optionee  at  the  time  of  cessation  of
               Optionee's employment or rendering of services to the Corporation
               (collectively "Service") or death:

               (i)  Should  the  Optionee  cease to  remain in  Service  for any
                    reason other than death, Disability or Misconduct,  then the
                    Optionee  shall have a period of three (3) months  following
                    the  date of such  cessation  of  Service  during  which  to
                    exercise  each  option  held by such  Optionee to the extent
                    exercisable on the date of such termination.

               (ii) Should Optionee's Service terminate by reason of Disability,
                    then the Optionee  shall have a period of twelve (12) months
                    following the date of such cessation of Service during which
                    to exercise each outstanding option held by such Optionee to
                    the extent exercisable on the date of such termination.

               (iii)If the Optionee  dies while holding an  outstanding  option,
                    then the personal representative of his or her estate or the
                    person or persons to whom the option is transferred pursuant
                    to the Optionee's will or the laws of inheritance shall have
                    a  twelve  (12)-month  period  following  the  date  of  the
                    Optionee's  death to  exercise  such  option  to the  extent
                    exercisable on the date of such termination.

               (iv) Under no  circumstances,  however,  shall any such option be
                    exercisable  after the  specified  expiration  of the option
                    term.

               (v)  All vested  options shall  terminate  upon the expiration of
                    the  applicable  exercise  period or (if  earlier)  upon the
                    expiration of the option term.

          b.   The Board or  Committee  shall have the  discretion,  exercisable
               either at the time an option is  granted or at any time while the
               option remains outstanding, to:

               (i)  extend  the period of time for which the option is to remain
                    exercisable  following  Optionee's  cessation  of Service or
                    death from the limited  period  otherwise in effect for that
                    option  to such  greater  period  of time as it  shall  deem
                    appropriate,  but in no event beyond the  expiration  of the
                    option term, and/or

               (ii) permit the  option to be  exercised,  during the  applicable
                    post-Service  exercise period,  not only with respect to the
                    number of  vested  shares  of  common  stock for which  such
                    option  is   exercisable  at  the  time  of  the  Optionee's
                    cessation  of Service  but also with  respect to one or more
                    additional  installments  in which the  Optionee  would have
                    vested  under  the  option  had the  Optionee  continued  in
                    Service.


                                      A-4


     4.  Stockholder  Rights.  The holder of an option shall have no stockholder
rights  with  respect to the shares  subject  to the  option  until such  person
exercise the option, pays the exercise price and becomes the recordholder of the
purchased shares.

     5. Limited Transferability of Options. During the lifetime of the Optionee,
the option shall be exercisable only by the Optionee and shall not be assignable
or transferable  other than by will or,  following the Optionee's  death, by the
laws of descent and distribution.

B.   CORPORATE TRANSACTION
     ---------------------

     1. All unvested options shall automatically vest in full if and when either
of the following stockholder approved transactions to which the Corporation is a
party  are  consummated:  (i) a merger  or  consolidation  in  which  securities
possessing  more than fifty percent (50%) of the total combined  voting power of
the Corporation's  outstanding securities are transferred to a person or persons
different from the persons holding those  securities  immediately  prior to such
transaction,  or  (ii)  the  sale,  transfer  or  other  disposition  of  all or
substantially  all  of the  Corporation's  assets  in  complete  liquidation  or
dissolution of the  Corporation.  However,  the shares subject to an outstanding
option  shall not vest on such an  accelerated  basis if and to the extent:  (i)
such option is assumed by the successor  corporation  (or parent thereof) in the
Corporate  Transaction  or  (ii)  such  option  is to be  replaced  with  a cash
incentive  program  of the  successor  corporation  which  preserves  the spread
existing on the unvested option shares at the time of the Corporate  Transaction
and provides for subsequent  payout in accordance with the same vesting schedule
applicable to those  unvested  option shares or (iii) the  acceleration  of such
option is subject to other limitations  imposed by the Board or Committee at the
time of the option grant.

     2. Each option which is assumed in connection with a Corporate  Transaction
shall be appropriately  adjusted,  immediately after such Corporate Transaction,
to apply to the number and class of securities which would have been issuable to
the Optionee in consummation of such Corporate Transaction,  had the option been
exercised   immediately  prior  to  such  Corporate   Transaction.   Appropriate
adjustments  shall  also be  made to (i) the  number  and  class  of  securities
available  for  issuance  under  the Plan  following  the  consummation  of such
Corporate  Transaction  and (ii) the exercise price payable per share under each
outstanding  option,  provided the  aggregate  exercise  price  payable for such
securities shall remain the same.

     3. The Board or Committee shall have the discretion,  exercisable either at
the time  the  option  is  granted  or at any  time  while  the  option  remains
outstanding,  to  structure  one or more  options  so that those  options  shall
automatically  accelerate  and vest in full  (and any  repurchase  rights of the
Corporation  with respect to the unvested  shares subject to those options shall
immediately terminate) upon the occurrence of a Corporate  Transaction,  whether
or not those options are to be assumed in the Corporate Transaction.

     4. The  Board or  Committee  shall  also have  full  power  and  authority,
exercisable  either at the time the  option is  granted or at any time while the
option remains outstanding,  to structure such option so that the shares subject
to that  option  will  automatically  vest on an  accelerated  basis  should the
Optionee's Service terminate by reason of the Optionee's  involuntary  dismissal
or discharge by the Corporation for reasons other than misconduct  ("Involuntary
Termination")  within a designated period (not to exceed one year) following the
effective  date of any Corporate  Transaction in which the option is assumed and
the repurchase rights applicable to those shares do not otherwise terminate. Any
option so  accelerated  shall remain  exercisable  for the  fully-vested  option
shares until the expiration or sooner termination of the option term.

     5. The portion of any Incentive  Option  accelerated  in connection  with a
Corporate  Transaction  shall remain  exercisable as an Incentive Option only to
the extent the applicable One Hundred Thousand Dollar  ($100,000.00)  limitation
is not  exceeded.  To  the  extent  such  dollar  limitation  is  exceeded,  the
accelerated  portion of such  option  shall be  exercisable  as a  Non-Statutory
Option under the Federal tax laws.

     6. The grant of options  under the Plan shall in no way affect the right of
the  Corporation  to adjust,  reclassify,  reorganize  or  otherwise  change its
capital or business structure or to merge, consolidate,  dissolve,  liquidate or
sell or transfer all or any part of its business or assets.

                                      A-5


                          III. STOCK ISSUANCE PROGRAM
                          ---------------------------

A.   STOCK ISSUANCE TERMS
     --------------------

     Shares of common stock may, upon request by a Participant, be issued at the
discretion of the Board or Committee  under the Stock Issuance  Program  through
direct and immediate  issuances without any intervening option grants. Each such
stock issuance shall comply with the terms specified below.

     1.   Purchase Price.
          --------------

          a.   The  purchase  price  per  share  shall be fixed by the  Board or
               Committee  but shall not be less than the Fair  Market  Value per
               share of common stock on the issue date.

          b.   Subject to the  provisions  of Section A of Article IV, shares of
               common stock may be issued under the Stock  Issuance  Program for
               any of the following items of  consideration  which the Board may
               deem appropriate in each individual instance:

               (i)  cash or check made payable to the Corporation, or

               (ii) past services  rendered to the Corporation (or any Parent or
                    Subsidiary).

     2.   Vesting Provisions.
          ------------------

          a.   Shares of common stock issued  under the Stock  Issuance  Program
               shall  vest  at the  discretion  of the  Board  of  Directors  or
               Committee.

          b.   The Participant  shall have full stockholder  rights with respect
               to any shares of common stock issued to the Participant under the
               Stock Issuance Program.  Accordingly,  the Participant shall have
               the right to vote such  shares and to receive  any  regular  cash
               dividends paid on such shares.


                               IV. MISCELLANEOUS
                               -----------------


A.   FINANCING
     ---------

     The Board or Committee  may permit any Optionee or  Participant  to pay the
option  exercise  price under the Option Grant Program or the purchase price for
shares issued under the Stock Issuance  Program by delivering a full-  recourse,
interest bearing promissory note payable in one or more installments and secured
by the purchased  shares.  The terms of any such  promissory note (including the
interest rate and the terms of repayment)  shall be  established by the Board in
its sole  discretion.  In no  event  may the  maximum  credit  available  to the
Optionee or  Participant  exceed the sum of (i) the  aggregate  option  exercise
price or purchase price payable for the purchased  shares (less the par value of
those shares) plus (ii) any Federal,  state and local income and  employment tax
liability  incurred by the Optionee or the  Participant  in connection  with the
option exercise or share purchase.

B.   ADJUSTMENTS DUE TO STOCK SPLITS, MERGERS, CONSOLIDATION, ETC.
     -------------------------------------------------------------

     If, at any time,  the  Company  shall  take any  action,  whether  by stock
dividend,  stock split,  combination of shares or otherwise,  which results in a
proportionate  increase  or  decrease  in the  number of shares of common  stock
theretofore issued and outstanding,  the number of shares which are reserved for
issuance  under the Plan and the  number  of shares  which,  at such  time,  are
subject to options shall, to the extent deemed appropriate by the committee,  be
increased or  decreased  in the same  proportion,  provided,  however,  that the
Company shall not be obligated to issue fractional shares.

     Likewise,  in the event of any change in the  outstanding  shares of common
stock by reason of any recapitalization, merger, consolidation,  reorganization,
combination or exchange of shares or other corporate change, the committee shall
make such substitution or adjustments, if any, as it deems to be appropriate, as
to the number or kind of shares of common  stock or other  securities  which are
reserved  for  issuance  under  the  Plan  and the  number  of  shares  or other
securities which, at such time are subject to Options.

                                      A-6


     In the  event  of a  change  of  control,  at the  option  of the  board of
directors or committee,  (a) all options  outstanding on the date of such change
of control  shall,  for a period of sixty days following such change of control,
become immediately and fully exercisable,  and (b) an optionee will be permitted
to surrender for cancellation within sixty days after such change of control any
option or portion of any option  which was granted more than six months prior to
the date of such  surrender,  to the extent not yet exercised,  and to receive a
cash payment in an amount equal to the excess,  if any, of the Fair Market Value
(on the date of  surrender)  of the shares of common stock subject to the option
or portion  thereof  surrendered,  over the  aggregate  purchase  price for such
shares under the option.

C.   EFFECTIVE DATE AND TERM OF PLAN
     -------------------------------

     1. The Plan shall  become  effective  on July 13,  2004,  provided  that no
Incentive  Options  may be  granted  unless  the Plan is first  approved  by the
Corporation's  stockholders.  The Board may grant options and issue shares under
the Plan at any time  after the  effective  date of the Plan and before the date
fixed herein for termination of the Plan.

     2. The Plan shall  terminate upon the earliest of (i) the expiration of the
ten  (10)-year  period  measured from the date the Plan is adopted by the Board,
(ii) the date on which all shares  available  for issuance  under the Plan shall
have been issued as vested shares or (iii) the  termination  of all  outstanding
options in  connection  with a Corporate  Transaction.  All options and unvested
stock issuances  outstanding at the time of a clause (i) termination event shall
continue to have full force and effect in accordance  with the provisions of the
documents evidencing those options or issuances.

D.   AMENDMENT OF THE PLAN
     ---------------------

     The  Board or  Committee  shall  have  complete  and  exclusive  power  and
authority to amend or modify the Plan in any or all respects.  However,  no such
amendment or modification shall adversely affect the rights and obligations with
respect to options or unvested stock issuances at the time outstanding under the
Plan  unless the  Optionee or the  Participant  consents  to such  amendment  or
modification.  In addition,  certain amendments may require stockholder approval
pursuant to applicable laws and regulations.

E.   WITHHOLDING
     -----------

     The  Corporation's  obligation  to deliver  shares of common stock upon the
exercise of any options or upon the  issuance  of shares  issued  under the Plan
shall be subject to the satisfaction of all applicable Federal,  state and local
income and employment tax withholding requirements.

F.   REGULATORY APPROVALS
     --------------------

     The  implementation of the Plan, the granting of any options under the Plan
and the  issuance  of any shares of common  stock (i) upon the  exercise  of any
option  or (ii)  under  the  Stock  Issuance  Program  shall be  subject  to the
Corporation's  obtaining  all  approvals  and  permits  required  by  regulatory
authorities having  jurisdiction over the Plan, the options granted under it and
the shares of common stock issued pursuant to it.

G.   NO EMPLOYMENT OR SERVICE RIGHTS
     -------------------------------

     Nothing in the Plan shall confer upon the Optionee or the  Participant  any
right to continue in Service  for any period of specific  duration or  interfere
with or  otherwise  restrict  in any way the rights of the  Corporation  (or any
Parent or Subsidiary  employing or retaining  such person) or of the Optionee or
the  Participant,  which  rights  are  hereby  expressly  reserved  by each,  to
terminate  such  person's  Service at any time for any  reason,  with or without
cause.

                                      A-7

                                    APPENDIX
                                    --------

The following definitions shall be in effect under the Plan:

Board shall mean the Corporation's Board of Directors.

Change of Control shall mean:

          (i) any person who is not currently such becomes the beneficial owner,
          directly or indirectly,  of securities of the Company representing 25%
          or more of the combined voting power of the Company's then outstanding
          voting securities; or

          (ii)  three  or more  directors,  whose  election  or  nomination  for
          election  is not  approved by a majority  of the  Incumbent  Board (as
          defined in the plan), are elected within any single 12-month period to
          serve on the board of directors; or

          (iii) members of the Incumbent Board cease to constitute a majority of
          the Board of Directors  without the approval of the remaining  members
          of the Incumbent Board; or

          (iv) any merger (other than a merger where the Company is the survivor
          and there is no  accompanying  change in control  under  subparagraphs
          (i), (ii) or (iii) of this paragraph (b),  consolidation,  liquidation
          or dissolution of the Company, or the sale of all or substantially all
          of the assets of the Company.

Code shall mean the Internal Revenue Code of 1986, as amended.

Common Stock shall mean the Corporation's common stock, $.0001 par value.

Corporate  Transaction  shall mean either of the following  stockholder-approved
transactions to which the Corporation is a party:

     (i) a merger or  consolidation  in which  securities  possessing  more than
fifty  percent  (50%) of the total  combined  voting power of the  Corporation's
outstanding securities are transferred to a person or persons different from the
persons holding those securities immediately prior to such transaction, or

     (ii) the sale, transfer or other disposition of all or substantially all of
the  Corporation's   assets  in  complete  liquidation  or  dissolution  of  the
Corporation.

Corporation shall mean Vasomedical, Inc., a Delaware corporation.

Disability  shall mean the  inability  of Optionee to engage in any  substantial
gainful  activity  by reason of any  medically  determinable  physical or mental
impairment  and shall be  determined by the Plan  Administrator  on the basis of
such  medical  evidence  as the Plan  Administrator  deems  warranted  under the
circumstances.  Disability shall be deemed to constitute Permanent Disability in
the event that such  Disability  is expected to result in death or has lasted or
can be expected to last for a continuous period of twelve (12) months or more.

Eligibility.  Incentive Options may only be granted to Employees.

Employee  shall mean an individual who is in the employ of the  Corporation  (or
any Parent or Subsidiary),  subject to the control and direction of the employer
entity  as to both  the  work to be  performed  and the  manner  and  method  of
performance.

Exercise Date shall mean the date on whch the option shall have been exercised.

Exercise  Price  shall mean the  exercise  price  payable  per  Option  Share as
specified in the Grant Notice.

Expiration  Date shall mean the date on which the option expires as specified in
the Grant Notice.
                                      A-8

Fair  Market  Value per  share of common  stock on any  relevant  date  shall be
determined in accordance with the following provisions:

     (i) If the common  stock is at the time  traded on the NASDAQ  National  or
SmallCap  Market,  then the Fair Market Value shall be the closing selling price
per share of common stock on the date in  question,  as the price is reported by
the  National  Association  of  Securities  Dealers  on the NASDAQ  National  or
SmallCap  Market.  If there is no closing  selling price for the common stock on
the date in question,  then the Fair Market  Value shall be the closing  selling
price on the last preceding date for which such quotation exists.

     (ii) If the common stock is at the time listed on any Stock Exchange,  then
the Fair Market  Value shall be the  closing  selling  price per share of common
stock on the date in  question  on the  Stock  Exchange  determined  by the Plan
Administrator  to be the primary  market for the common stock,  as such price is
officially  quoted in the composite tape of  transactions  on such exchange.  If
there is no closing  selling price for the common stock on the date in question,
then the  Fair  Market  Value  shall be the  closing  selling  price on the last
preceding date for which such quotation exists.

     (iii) If the  common  stock  is at the time  neither  listed  on any  Stock
Exchange nor traded on the NASDAQ  National  Market,  then the Fair Market Value
shall be  determined  by the Plan  Administrator  after taking into account such
factors as the Plan Administrator shall deem appropriate.

Grant Date shall mean the date of grant of the option as  specified in the Grant
Notice.

Grant  Notice shall mean the Notice of Grant of Stock  Option  accompanying  the
Agreement,  pursuant to which  Optionee has been  informed of the basic terms of
the option evidenced hereby.

Incentive  Option shall mean an option which satisfies the  requirements of Code
Section 422.

Misconduct  shall  mean the  commission  of any act of  fraud,  embezzlement  or
dishonesty by the Optionee or Participant, any unauthorized use or disclosure by
such person of confidential  information or trade secrets of the Corporation (or
any Parent or Subsidiary),  or any other  intentional  misconduct by such person
adversely affecting the business or affairs of the Corporation (or any Parent or
Subsidiary) in a material manner.  The foregoing  definition shall not be deemed
to be  inclusive  of all the acts or  omissions  which the  Corporation  (or any
Parent or Subsidiary)  may consider as grounds for the dismissal or discharge of
any Optionee,  Participant or other person in the Service of the Corporation (or
any Parent or  Subsidiary).

1934  Act  shall  mean  the  Securities   Exchange  Act  of  1934,  as  amended.

Non-Employee  Director  shall have the meaning  provided under Rule 16(b) or any
successor rule under the 1934 Act.

Non-Statutory   Option  shall  mean  an  option  not  intended  to  satisfy  the
requirements of Code Section 422.

Option  Agreement shall mean the option  agreement  issued pursuant to the Grant
Notice.

Option  Shares  shall mean the number of shares of common  stock  subject to the
option.

Optionee shall mean the person to whom the option is granted as specified in the
Grant Notice.

Parent shall mean any  corporation  (other than the  Corporation) in an unbroken
chain of corporations ending with the Corporation,  provided each corporation in
the  unbroken  chain  (other  than  the  Corporation)  owns,  at the time of the
determination,  stock  possessing  fifty  percent  (50%)  or more  of the  total
combined  voting power of all classes of stock in one of the other  corporations
in such chain.

Permitted Transfer shall mean (i) a gratuitous transfer of the Purchased Shares,
provided and only if Optionee obtains the Corporation's prior written consent to
such  transfer,  (ii) a  transfer  of title  to the  Purchased  Shares  effected
pursuant  to  Optionee's  will or the  laws of  intestate  succession  following
Optionee's  death or (iii) a transfer to the  Corporation  in pledge as security
for any purchase-money  indebtedness incurred by Optionee in connection with the
acquisition of the Purchased Shares.

                                      A-9


Plan shall mean the Corporation's 2004 Stock Option/Stock Issuance Plan.

Plan  Administrator  shall  mean  either the Board or a  committee  of the Board
acting in its capacity as administrator of the Plan.

Purchase Agreement shall mean the stock purchase agreement pursuant to the Grant
Notice.

Service shall mean the Optionee's  performance  of services for the  Corporation
(or any Parent or  Subsidiary)  in the capacity of an Employee,  a  non-employee
member of the board of directors or an independent consultant.

Stock  Exchange  shall mean the  American  Stock  Exchange or the New York Stock
Exchange.

Subsidiary  shall  mean  any  corporation  (other  than the  Corporation)  in an
unbroken chain of  corporations  beginning with the  Corporation,  provided each
corporation (other than the last corporation) in the unbroken chain owns, at the
time of the  determination,  stock possessing fifty percent (50%) or more of the
total  combined  voting  power  of all  classes  of  stock  in one of the  other
corporations in such chain.

Vesting  Commencement  Date  shall  mean  the date on which  the  Option  Shares
commences to vest as specified in the Grant Notice.

Vesting Schedule shall mean the vesting  schedule  specified in the Grant Notice
pursuant to which the  Optionee  is to vest in the Option  Shares in a series of
installments over his or her period of Service.

                                      A-10


                                                                       Exhibit B
                               VASOMEDICAL, INC.

                         CHARTER OF THE AUDIT COMMITTEE
                         ------------------------------

I.   Audit Committee Purpose

     The Audit  Committee  is  appointed by the Board of Directors to assist the
Board in  fulfilling  its  oversight  responsibilities.  The  Audit  Committee's
primary duties and responsibilities are to:

     --   Monitor the integrity of the Company's financial reporting process and
          systems of internal controls regarding finance,  accounting, and legal
          compliance.
     --   Monitor   the   Company's   compliance   with  legal  and   regulatory
          requirements.
     --   Monitor  the  qualifications,  independence  and  performance  of  the
          Company's independent auditors.
     --   Provide an avenue of  communication  among the  independent  auditors,
          management,  the  internal  auditing  department,  and  the  Board  of
          Directors.

     The  Audit  Committee  has  the  authority  to  conduct  any  investigation
appropriate to fulfilling its responsibilities,  and it has direct access to the
independent auditors as well as anyone in the organization.  The Audit Committee
has the ability to retain, at the Company's expense,  special legal, accounting,
or other  consultants  or experts it deems  necessary in the  performance of its
duties.

 II.    Audit Committee Composition and Meetings

     Audit Committee  members shall meet the requirements of the NASD. The Audit
Committee  shall be  comprised  such number of directors  as  determined  by the
Board,  but no less than three  directors,  each of whom shall be an independent
director  as such is  defined  by  Nasdaq  rules,  and  any  rule or  regulation
prescribed by the SEC, free from any relationship  that would interfere with the
exercise of his or her independent judgment.  All members of the Committee shall
have a basic  understanding  of finance and  accounting  and be able to read and
understand  fundamental financial statements in accordance with the Nasdaq Audit
Committee requirements.

     Audit Committee members shall be elected by the Board at the annual meeting
of the Board or until their successors  shall be duly elected and qualified.  If
an audit  committee  Chair is not  designated,  the members of the Committee may
designate a Chair by majority vote of the Committee membership.

     The Committee shall meet at least four times  annually,  or more frequently
as circumstances dictate. The Audit Committee Chair shall prepare and/or approve
an agenda in advance of each  meeting.  The Committee  should meet  privately in
executive  session  at least  annually  with  management,  the  director  of the
internal auditing department,  the independent  auditors,  and as a committee to
discuss any matters that the Committee or each of these groups believe should be
discussed. In addition, the Committee, or at least its Chair, should communicate
with management and the independent  auditors  quarterly to review the Company's
financial  statements and significant  findings based upon the auditor's limited
review procedures.

III.    Audit Committee Responsibilities and Duties

     1.  Overseeing the internal  audit function and reviewing,  on a continuing
basis,  the adequacy of the  Company's  system of internal  controls,  including
meeting  periodically with the Company's management and the independent auditors
to review  the  adequacy  of such  controls  and to review  before  release  the
disclosure  regarding such system of internal  controls required under SEC rules
to be  contained  in the  Company's  periodic  filings and the  attestations  or
reports by the independent auditors relating to such disclosure.

     2.  Appointing,  compensating  and overseeing  the work of the  independent
auditors  (including   resolving   disagreements   between  management  and  the
independent auditors regarding financial reporting) for the purpose of preparing
or issuing an audit report or related work.

     3.  Pre-approving  audit and non-audit  services provided to the Company by
the independent auditors (or subsequently  approving non-audit services in those

                                      B-1


circumstances where a subsequent approval is necessary and permissible); in this
regard,  the Audit Committee shall have the sole authority to approve the hiring
and firing of the independent auditors,  all audit engagement fees and terms and
all non-audit engagements, as may be permissible, with the independent auditors.

     4. Reviewing and providing  guidance with respect to the external audit and
the Company's relationship with its independent auditors by:

     (1)  reviewing the independent auditors' proposed audit scope, approach and
          independence;

     (2)  obtaining  on a  periodic  basis  a  statement  from  the  independent
          auditors  regarding  relationships and services with the Company which
          may impact  independence and presenting this statement to the Board of
          Directors,  and to the extent there are relationships,  monitoring and
          investigating them;

     (3)  reviewing the independent  auditors' peer review conducted every three
          years;

     (4)  discussing  with the  Company's  independent  auditors  the  financial
          statements and audit findings,  including any significant adjustments,
          management  judgments  and  accounting   estimates,   significant  new
          accounting  policies and  disagreements  with management and any other
          matters described in SAS No. 61, as may be modified or supplemented;

     (5)  reviewing  reports submitted to the audit committee by the independent
          auditors in accordance with the applicable SEC requirements; and

     (6)  reviewing and discussing with management and the independent  auditors
          the  annual  audited  financial  statements  and  quarterly  unaudited
          financial  statements,   including  the  Company's  disclosures  under
          "Management's  Discussion  and  Analysis of  Financial  Condition  and
          Results of Operations," prior to filing the Company's Annual Report on
          Form 10-K and Quarterly Reports on Form 10-Q,  respectively,  with the
          SEC.

     5.  Directing  the Company's  independent  auditors to review before filing
with the SEC the Company's interim financial  statements including the Quarterly
Reports on Form 10-Q, using professional standards and procedures for conducting
such reviews.

     6.  Conducting a post-audit  review of the financial  statements  and audit
findings,  including any significant  suggestions for  improvements  provided to
management by the independent auditors.

     7. Reviewing before release the unaudited  quarterly  operating  results in
the Company's quarterly earnings release.

     8. Overseeing compliance with the requirements of the SEC for disclosure of
auditor's  services  and audit  committee  members,  member  qualifications  and
activities.

     9. Reviewing, approving and monitoring the Company's code of ethics for its
senior officers.

     10.  Reviewing  management's  monitoring of  compliance  with the Company's
standards of business conduct and with the Foreign Corrupt Practices Act.

     11.  Reviewing,  in conjunction with counsel,  any legal matters that could
have a significant impact on the Company's financial statements.

     12. Providing  oversight and review at least annually of the Company's risk
management policies, including its investment policies.

     13.  Reviewing the performance of the independent  auditors and ensure that
the independent auditors are accountable to the Board of Directors.

                                      B-2


     14.  Ensuring  receipt from the  independent  auditors of a formal  written
statement  delineating  between  the auditor and the  Company,  consistent  with
Independence  Standards  Board  Standard  1, as well as  actively  engaging in a
dialogue   with  the   independent   auditors  with  respect  to  any  disclosed
relationships  or services that may impact the objectivity  and  independence of
the independent auditors.

     15. If necessary,  instituting special  investigations and, if appropriate,
hiring special counsel or experts to assist.

     16.  Reviewing  related  party  transactions  for  potential  conflicts  of
interest.

     17. Reviewing and reassessing the adequacy of its formal written charter on
an annual basis.

     18. Performing other oversight  functions as requested by the full Board of
Directors.

     Other Audit Committee Responsibilities
     --------------------------------------

     19. Annually prepare a report to shareholders as required by the Securities
and Exchange  Commission.  The report should be included in the Company's annual
proxy statement.

     20.  Perform  any  other  activities  consistent  with  this  Charter,  the
Company's  by-laws,  and  governing  law,  as the  Committee  or the Board deems
necessary or appropriate.

     21. Maintain  minutes of meetings and  periodically  report to the Board of
Directors on significant results of the foregoing activities.

While the Audit Committee has the  responsibilities and powers set forth in this
Charter,  it is not the duty of the Audit Committee to plan or conduct audits or
to determine that the Company's  financial  statements are complete and accurate
and are in accordance with generally accepted accounting  principles.  Nor is it
the  duty  of  the  Audit  Committee  to  conduct  investigations,   to  resolve
disagreements,  if any,  between  management and the  independent  auditor or to
assure  compliance  with laws and regulations and the Company's Code of Business
Conduct.


                                      B-3


                                                                       Exhibit C


        CODE OF ETHICS FOR CEO AND SENIOR FINANCIAL OFFICERS


     Vasomedical,  Inc.  ( the  "  Company")  has a  Code  of  Business  Conduct
applicable to all directors and employees of the Company. The CEO and all senior
financial  officers,  including the CFO and principal  accounting  officer,  are
bound by the provisions set forth therein relating to ethical conduct, conflicts
of  interest  and  compliance  with law.  In  addition  to the Code of  Business
Conduct,  the CEO and senior  financial  officers  are subject to the  following
additional specific policies:

     1. The CEO and all senior  financial  officers  are  responsible  for full,
     fair,  accurate,  timely  and  understandable  disclosure  in the  periodic
     reports required to be filed by the Company with the SEC.  Accordingly,  it
     is the responsibility of the CEO and each senior financial officer promptly
     to bring to the attention of the Audit  Committee any material  information
     of which he or she may become  aware that affects the  disclosures  made by
     the Company in its public filings or otherwise  assist the Audit  Committee
     in  fulfilling  its  responsibilities  as specified in the Audit  Committee
     Charter.

     2. The CEO and each senior  financial  officer shall  promptly bring to the
     attention  of the  Audit  Committee  any  information  he or she  may  have
     concerning  (a)  significant  deficiencies  in the design or  operation  of
     internal  controls which could  adversely  affect the Company's  ability to
     record,  process,  summarize  and report  financial  data or (b) any fraud,
     whether or not material,  that involves  management or other  employees who
     have a significant role in the Company's financial  reporting,  disclosures
     or internal controls.

     3. The CEO and each senior  financial  officer shall  promptly bring to the
     attention  of the  Audit  Committee  any  information  he or she  may  have
     concerning  any  violation  of the  Company's  Code  of  Business  Conduct,
     including any actual or apparent conflicts of interest between personal and
     professional relationships, involving any management or other employees who
     have a significant role in the Company's financial  reporting,  disclosures
     or internal controls.

     4. The CEO and each senior  financial  officer shall  promptly bring to the
     attention  of the  Audit  Committee  any  information  he or she  may  have
     concerning  evidence of a material  violation  of the  securities  or other
     laws,  rules or regulations  applicable to the Company and the operation of
     its business,  by the Company or any agent thereof,  or of violation of the
     Code of Business Conduct or of these additional procedures.

     5. The Board of Directors shall determine, or designate appropriate persons
     to determine, appropriate actions to be taken in the event of violations of
     the Code of Business Conduct or of these  additional  procedures by the CEO
     and  the  Company's  senior  financial  officers.  Such  actions  shall  be
     reasonably  designed to deter wrongdoing and to promote  accountability for
     adherence  to  the  Code  of  Business  Conduct  and  to  these  additional
     procedures,  and shall include written  notices to the individual  involved
     that the Board has determined  that there has been a violation,  censure by
     the Board, demotion or re-assignment of the individual involved, suspension
     with  or  without  pay  or  benefits  (as  determined  by  the  Board)  and
     termination of the individual's  employment.  In determining what action is
     appropriate  in a particular  case, the Board of Directors or such designee
     shall take into account all relevant information,  including the nature and
     severity of the violation, whether the violation was a single occurrence or
     repeated   occurrences,   whether  the  violation   appears  to  have  been
     intentional  or  inadvertent,  whether the  individual in question had been
     advised  prior to the  violation  as to the  proper  course of  action  and
     whether or not the individual in question had committed other violations in
     the past.

                                      C-1

VASOMEDICAL, INC.

                    The undersigned hereby appoints ABRAHAM E. COHEN and PHOTIOS
                    T.  PAULSON,  or either of them,  attorneys and Proxies with
                    full power of  substitution in each of them, in the name and
                    stead of the  undersigned  to vote as Proxy all the stock of
                    the   undersigned   in   VASOMEDICAL,   INC.,   a   Delaware
                    corporation, at the Annual Meeting of Stockholders scheduled
                    to be held on October 28, 2004 and any adjournments thereof.

The Board of Directors recommends a vote FOR the following proposals:

1.   Election of the following nominees, as set forth in the proxy statement:

                Alexander G. Bearn, MD
                David S. Blumenthal, MD
                Kenneth W. Rind, PhD

     [   ]  FOR all nominees listed above       [   ] WITHHOLD authority to vote
     (Instruction:  To withhold  authority to vote for any  individual  nominee,
print the nominee's name on the line provided below)

-----------------------------------------------------

2.   To ratify and approve the Company's 2004 Stock Option/Stock  Issuance Plan,
     as set forth in the Proxy Statement.

                 [   ] FOR      [   ] AGAINST       [   ] ABSTAIN

3.   To ratify the  appointment  by the Board of Directors of Grant Thornton LLP
     as the Company's independent certified public accountants for fiscal 2005.

                 [   ] FOR      [   ] AGAINST       [   ] ABSTAIN

4.   Upon such other  business  as may  properly  come before the meeting or any
     adjournment thereof.

                  (Continued and to be signed on reverse side)
 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
THE SHARES  REPRESENTED  HEREBY SHALL BE VOTED BY PROXIES,  AND EACH OF THEM, AS
SPECIFIED AND, IN THEIR DISCRETION, UPON SUCH OTHER MATTERS AS MAY PROPERLY COME
BEFORE  THE  MEETING.  STOCKHOLDERS  MAY  WITHHOLD  THE  VOTE  FOR  ONE OR  MORE
NOMINEE(S) BY WRITING THE NOMINEE(S)  NAME(S) IN THE BLANK SPACE PROVIDED ON THE
REVERSE HEREOF.  IF NO  SPECIFICATION  IS MADE, THE SHARES WILL BE VOTED FOR THE
PROPOSALS SET FORTH ON THE REVERSE HEREOF.

Dated:  _____________, 2004
                                 ________________________________________[L.S.]

                                 ________________________________________[L.S.]

                    (Note:  Please  sign  exactly as your name  appears  hereon.
                    Executors, administrators, trustees, etc. should so indicate
                    when  signing,  giving  full  title as such.  If signer is a
                    corporation,  execute in full  corporate  name by authorized
                    officer.  If  shares  are  held  in the  name of two or more
                    persons, all should sign.)


        PLEASE DATE, SIGN AND RETURN THIS PROXY IN THE ENCLOSED ENVELOPE