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If outside India, include country code (e.g. +971…)

Searching patient records...

Please fill details for the new patient / family member.

Who is this appointment / consultation for?

Have reports / prescriptions / invoices / insurance docs? Attach them here (optional).
Stored securely in your Evergreen Medical Records.

Mode of consultation

No fixed time slot for online bookings.
Doctor will reply when free.

Type of Appointment Required
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Do you already have an Evergreen UHID?

UHID (Unique Health IDentification) number

UHID can be found on your previous prescription, appointment confirmation email, patient file cover, or medical records shared by Evergreen Family Clinic.

Enter this patient’s UHID to auto-fill saved details. If you don’t know it, you can continue manually.

Would you like to review or update the patient’s saved details, medical history or address?

Your appointment has been booked.

You may submit the form right now 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?

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 by clinical assistants or nurses,  medicine delivery, or blood sample collection. Your details remain confidential and are used only for your healthcare services.

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​Sharing location is optional and will only be used for ambulance assistance, home visits, medicine delivery, or sample collection when required.

Your appointment has been booked.

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