Request an appointment


Complete the form below to request an appointment. An appointment representative will contact you within 24hours to review your medical information before an appointment may be offered.


If you are having a medical emergency, Call/Whatsapp Number: +91 6381751733


Note: All fields are required unless marked optional.

Note: The Doctors availablities are as per Indian Timezone.



Choose Country:*


Choose Preferred Language*(The Language list given is as per our Doctor's known Languages)


Choose Location*(The given Location list is based on the Country and Language choosen)


Choose Doctor*


Choose Appointment Date*


Choose Appointment Time*



Requester Information


Who is this appointment for?*



Patient Information

Please provide patient information as it appears on legal documents.


Have you previously consulted Online?*



Medical Concern


Note: After fill all the fields please click 'Add' button so that you can add more symptoms.

Symptoms:
Nature:
Location:
Aggravating factor:
Reducing factor:


Click here to see the example for how to fill?

Present Illness History:

Do you have any Past Medical Illnesses?


Do you have any Past Surgical/Treatment/Medicine History?


Life style:

Psychological State:

Family History:

Do you have any History of Drug Allergies?

Do you have any History of Other Allergies?

Are you following any Diet Pattern?

Occupation:

Do you have any Habits & Addiction?

Do you have Stress?

Are you doing any Exercise, yoga & Medication?

Do you have any Lab Investigation History?


Click here to see the example for how to fill?

Note:If you know or If you previously diagnosed with any diseases please mention here.

Diagnosis:

Appetite:
Sleep:
Bowels:
Urination:
Tongue:


Clinical Information

Please upload your clinical reports



Drop your Query (Optional)


 I have read and agree to the terms of service


Important: After submission, please do not leave this form until you see the payment page.



Appointments by Phone

Call our representative via phone and book your appointment.

Call/Whatsapp Number: +91 6381751733

Email: consult@avpayurveda.com

9 AM to 6 PM, Monday through Saturday



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INFORMATION AND CARE BASED ON PRACTICE BASED EVIDENCE & RESEARCH BASED FINDINGS





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