Dear Patients, we understand that below form is long to fill but it will not take more than 10 min of your time. This form is important to us and it will help us to diagnose you better so fill and submit this form completely
Following information should be filled by the patient. Please fill up this form sincerely. Selection of homeopathic medicines is based on the answers to following questions. Wrong answers will suggest wrong remedy.
In case you do not understand a question do not answer.