Fix an Appointment

Your Name*
Your Email*
Your Mobile*
Who is the Patient?

SelfFamily MemberSomeone Else
Summarize your Health Complaints
Joint PainsJoint SwellingBack PainEarly Morning StiffnessMuscle WeaknessFeverWeight LossAppetite LossSkin RashSkin Thickening and DarkeningHair LossMouth UlcersAny Other
Have You Consulted a Doctor Before?
YesNo
Have You Consulted a Specialist Before?
YesNo
If Yes What was the Diagnosis?
What Treatments Have you Undergone?
Would you like an Appointment?
YesNo
captcha