EMERGENCY CONSULTATION
This form is only for emergency consultation on Sunday, Monday and other holidays. Also applicable for outside work hours appointments.
Personal details
Full Name
*
Gender
Please Select
Male
Female
Not willing to Disclose
Email
example@example.com
Phone Number
*
Appointment Date
Briefly explain your emergency
2100 INR is the consultation charges for emergencies. Emergency consultation won't be considered as a part of ongoing packages. Please pay and attach screenshot below.
Payment Screenshot / Bill Screenshot
*
Browse Files
Please attach valid invoice within validity incase of packages. Bill beyond validity date won’t be accepted & appointment will be auto-cancelled.
Cancel
of
You will receive a call after this request submission in next few hours according to doctor's availability. Incase of unavailability of the doctor in few hours, we will process you the refund in 2-3 working days
Submit Form
CLINIC APPOINTMENTS AVAILABLE ON WEDNESDAY, THURSDAY & SATURDAY
CONTACT US USING THE BELOW BUTTON FOR CLINIC APPOINTMENT SCHEDULE
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