Exhibit 99 (a)(1)(D)

                                                 
                                                                                  425 Lexington Avenue
           [LOGO OF CIBC WORLD MARKETS]                                       New York, New York 10017



                           OFFER TO PURCHASE FOR CASH
                     ALL OUTSTANDING SHARES OF COMMON STOCK
           (INCLUDING THE ASSOCIATED PREFERRED STOCK PURCHASE RIGHTS)
                                       OF
                           RAYTEL MEDICAL CORPORATION
                                       AT
                              $10.25 NET PER SHARE
                                       BY
                       SHL TELEMEDICINE ACQUISITION CORP.
                     AN INDIRECT WHOLLY-OWNED SUBSIDIARY OF
                             SHL TELEMEDICINE LTD.

  THE OFFER AND WITHDRAWAL RIGHTS WILL EXPIRE AT 12:00 MIDNIGHT, NEW YORK CITY
        TIME, ON THURSDAY, MARCH 21, 2002, UNLESS THE OFFER IS EXTENDED.

                                                               February 22, 2002

To Brokers, Dealers, Commercial Banks,
  Trust Companies and other Nominees:

    We have been engaged by SHL TeleMedicine Acquisition Corp., a Delaware
corporation (the "Purchaser") and an indirect wholly-owned subsidiary of SHL
TeleMedicine Ltd., an Israeli corporation ("SHL"), and SHL to act as Dealer
Manager in connection with the Purchaser's offer to purchase all the outstanding
shares of common stock, par value $0.001 per share, of Raytel Medical
Corporation, a Delaware corporation ("Raytel"), including the associated rights
to purchase the Series A Preferred Stock of Raytel issued pursuant to the Rights
Agreement, dated as of August 14, 1998, by and between Raytel and BankBoston,
N.A. as Rights Agent (together, the "Shares"), at a price of $10.25 per Share,
net to the seller in cash, without interest (the "Offer Price"), upon the terms
and subject to the conditions set forth in the Purchaser's Offer to Purchase
dated February 22, 2002 (as amended or supplemented from time to time, the
"Offer to Purchase") and in the related Letter of Transmittal (which, together
with any amendments or supplements thereto, constitute the "Offer").

    If a stockholder desires to tender Shares pursuant to the Offer and such
stockholder's Share certificates are not immediately available or time will not
permit all required documents to reach the Depositary (as defined in the Offer
to Purchase) prior to the Expiration Date or the procedures for book-entry
transfer cannot be completed on a timely basis, such Shares may nevertheless be
tendered according to the guaranteed delivery procedures set forth in Section 2
of the Offer to Purchase. See Instruction 2 of the Letter of Transmittal.
DELIVERY OF DOCUMENTS TO THE BOOK-ENTRY TRANSFER FACILITY (AS DEFINED IN THE
OFFER TO PURCHASE) IN ACCORDANCE WITH THE BOOK-ENTRY TRANSFER FACILITY'S
PROCEDURES DOES NOT CONSTITUTE DELIVERY TO THE DEPOSITARY.

    The Offer is conditioned upon, among other things, there being validly
tendered and not withdrawn prior to the Expiration Date a number of Shares that
would represent at least a majority of the total number of outstanding Shares on
a fully diluted basis.

    Please furnish copies of the enclosed materials to those of your clients for
whom you hold Shares registered in your name or in the name of your nominee.

    Enclosed for your information and use are copies of the following documents:

        1.  Offer to Purchase dated February 22, 2002;

        2.  Letter of Transmittal to be used by stockholders of Raytel in
    accepting the Offer (facsimile copies of the Letter of Transmittal with
    original signatures and all required signature guarantees may be used to
    tender the Shares);

        3.  Letter to stockholders of Raytel from the Chairman of the Board and
    Chief Executive Officer of Raytel and the Chairman of the Special Committee
    of Raytel's Board of Directors accompanied by Raytel's Solicitation/
    Recommendation Statement on Schedule 14D-9;

        4.  A printed form of a letter that may be sent to your clients for
    whose account you hold Shares in your name or in the name of a nominee, with
    space provided for obtaining such client's instructions with regard to the
    Offer;

        5.  Notice of Guaranteed Delivery to be used to accept the Offer if
    certificates for Shares are not immediately available or if time will not
    permit all required documents to reach the Depositary by the Expiration Date
    or if the procedures for book-entry transfer cannot be completed on a timely
    basis;

        6.  Guidelines of the Internal Revenue Service for Certification of
    Taxpayer Identification Number on Substitute Form W-9; and

        7.  Return envelope addressed to Alpine Fiduciary Services, Inc., as
    Depositary.

    YOUR PROMPT ACTION IS REQUESTED. WE URGE YOU TO CONTACT YOUR CLIENTS AS
PROMPTLY AS POSSIBLE. PLEASE NOTE THAT THE OFFER AND WITHDRAWAL RIGHTS WILL
EXPIRE AT 12:00 MIDNIGHT, NEW YORK CITY TIME, ON THURSDAY, MARCH 21, 2002,
UNLESS THE OFFER IS EXTENDED.

    The Offer is being made pursuant to the Agreement and Plan of Merger dated
as of February 7, 2002 (the "Merger Agreement"), among SHL, the Purchaser and
Raytel pursuant to which, following the consummation of the Offer and the
satisfaction or waiver of certain conditions, the Purchaser will be merged with
and into Raytel, with Raytel surviving the merger as a subsidiary of SHL (the
"Merger"). At the effective time of the Merger, each outstanding Share (other
than Shares owned by SHL, the Purchaser or Raytel or any subsidiary of SHL or
Raytel or by stockholders, if any, who are entitled to and properly exercise
appraisal rights under Delaware law) will be converted into the right to receive
the price per Share paid pursuant to the Offer in cash, without interest
thereon, as set forth in the Merger Agreement and described in the Offer to
Purchase.

    The Board of Directors of Raytel (the "Raytel Board"), upon the unanimous
recommendation of a special committee of the Raytel Board, has unanimously
(A) approved and adopted the Merger Agreement, the Offer and the Merger and the
Transactions (as defined in the Merger Agreement), (B) determined that the terms
of the Offer, the Merger and the other Transactions are fair to, and in the best
interests of, Raytel and its stockholders and (C) recommended that the holders
of Raytel common stock accept the Offer and tender their shares of Raytel common
stock pursuant to the Offer.

    In all cases, payment for Shares accepted for payment pursuant to the Offer
will be made only after timely receipt by the Depositary of (a) certificates for
(or a timely Book-Entry Confirmation (as defined in the Offer to Purchase) with
respect to) such Shares, (b) a Letter of Transmittal (or a facsimile thereof),
properly completed and duly executed, with any required signature guarantees,
or, in the case of a book-entry transfer effected pursuant to the procedure set
forth in Section 2 of the Offer to Purchase, an Agent's Message (as defined in
the Offer to Purchase), and (c) any other documents required by the Letter of
Transmittal. Accordingly, tendering stockholders may be paid at different times
depending upon when Share certificates or Book-Entry Confirmations with respect
to Shares are actually received by the Depositary. UNDER NO CIRCUMSTANCES WILL
INTEREST BE PAID ON THE PURCHASE PRICE OF THE SHARES TO BE PAID BY THE
PURCHASER, REGARDLESS OF ANY EXTENSION OF THE OFFER OR ANY DELAY IN MAKING SUCH
PAYMENT.

    Neither the Purchaser nor SHL will pay any fees or commissions to any broker
or dealer or other person (other than the Dealer Manager and Information Agent,
as described in the Offer to Purchase) in connection with the solicitation of
tenders of Shares pursuant to the Offer. You will be reimbursed by the Purchaser
upon request for customary mailing and handling expenses incurred by you in
forwarding the enclosed Offer materials to your customers.

    The Purchaser will pay or cause to be paid any transfer taxes payable on the
transfer of Shares to it, except as otherwise provided in Instruction 6 of the
Letter of Transmittal.

    If holders of Shares wish to tender, but it is impracticable for them to
forward their certificates or other required documents prior to the expiration
of the Offer, a tender may be effected by following the guaranteed delivery
procedures specified in Section 2 of the Offer to Purchase.

    Questions and requests for additional copies of the enclosed material may be
directed to the Information Agent at its address and telephone numbers set forth
on the back cover of the enclosed Offer to Purchase.

                                          Very truly yours,

                                          CIBC WORLD MARKETS CORP.

ENCLOSURES

NOTHING CONTAINED HEREIN OR IN THE ENCLOSED DOCUMENTS SHALL RENDER YOU OR ANY
OTHER PERSON THE AGENT OF THE PURCHASER, SHL, THE DEPOSITARY, THE INFORMATION
AGENT, THE DEALER MANAGER OR ANY AFFILIATE THEREOF OR AUTHORIZE YOU OR ANY OTHER
PERSON TO GIVE ANY INFORMATION OR MAKE ANY REPRESENTATION ON BEHALF OF ANY OF
THEM WITH RESPECT TO THE OFFER OTHER THAN THE DOCUMENTS ENCLOSED AND THE
STATEMENTS CONTAINED THEREIN.