Patient history
We ask about your symptoms and lifestyle so we can understand your condition, concerns and goals properly. We also ask about your general health, medications and allergies. Completing the patient history form at home and bringing it with you saves time at your first appointment.
Authorisation for communication
We ask for basic information about the best way to contact you and your family over the course of your treatment.
Patient history form
Symptoms, lifestyle, general health, current medicines and allergies. Fill it in at home and bring it with you.
Request from the clinicWhatsAppAuthorisation for communication
How the clinic may contact you and your family during treatment, and who may be spoken to.
Request from the clinicWhatsAppBring the completed forms to your first appointment, or send them ahead on WhatsApp. See the FAQ page for answers to the questions patients most often ask before a first visit.
Ready to talk to someone?
Book an appointment in the clinic or by telemedicine — or call us on +92 310 040 4444.
Book an appointment