EVERGREEN FAMILY CLINIC
A CARE THAT NEVER QUITS
If outside India, include country code (e.g. +971…)
Who is this appointment for?
No fixed time slot for online bookings.
Doctor will reply when free.
Upload your lab reports, old prescriptions, discharge summaries, invoices, insurance papers, etc. This helps keep all your medical files safely in one place, so you can access them whenever needed.
You may submit the form right after this section if you are in a hurry 😊. Below mentioned questions are completely optional. However, filling them now helps us understand you better, saves time during your consultation, and means you won’t have to hunt through your phone in front of the doctor 🙈. Patients who fill these in often look extra organised and wise 😇.
Would you like to add medical history and extra details now?
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Tell us a little about your past medical & surgical history — it helps us serve you better.
Knowing family health issues helps us understand your risks & we can plan better preventive care for you.
Briefly describe your usual diet / restrictions — this supports personalized nutritional guidance.
Helps us advise workout programs based on level of current activity
Patients who fill this section are our ‘smart ones’ — it saves both you and the doctor precious time. Makes you look extra organised and wise.
Letting us know early helps us keep you safe.
Please mention your work type or daily routine — helps tailor lifestyle advice and treatment
Early to bed, early to rise makes a man healthy, wealthy & wise.
For clinical understanding only. Will stay strictly confidential.
For home visits, medicine delivery, or blood sample collection. Your details remain confidential and are used only for your healthcare services. If not relevant, you can skip this section.