M.E.D.I.C Health AI Analysis
Personal Info
Age
*
Please Select
18
19
20
21
22
23
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25
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Gender
*
Please Select
Female
Male
Other
Weight (In Kgs.)
Height (In ft.)
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Medical History
List Your Current Medical Conditions (Type “None” if not available)
*
List Your Current Medications (Type “None” if not available)
*
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Your Lifestyle
Dietary Pattern
*
Please Select
Vegetarian
Non-Vegetarian
Vegan
Eggitarian
Physical Activity Level
*
Please Select
Sedentary
Light (1-3 days a week)
Moderate (3-5 days a week)
Very Active (6-7 days a week)
Extra Active (Twice a Day)
Alcohol Consumption
*
Please Select
Yes
No
Smoking (Vaping, Hookah, others)
*
Please Select
Yes
No
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Symptoms & Concerns
Any Symptoms (Type None if not available)
*
Any Health Concerns (Type None if not available)
*
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Medical History (If Any)
Family Medical History
*
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Upload Your Medical Data (Blood Test Reports)
File Upload
*
Upload Latest Blood Test Reports
Drag and drop files here
Choose a file
Cancel
of
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Consent & Data Privacy
Your Phone Number
*
Email
*
example@example.com
Please verify that you are human
*
Submit
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