Online Consultation old

Online Consultation

Homeopathy treats the patient as a whole. We need the characteristic (Unique) symptoms from the patient during the case taking like temperament, personality, emotional and physical responses, etc. These Characteristics and symptoms are helpful for the doctor when prescribing suitable medicine for you. Thus, please give as much information as possible and answer as many of the questions as you can in the below form. You can ask for professional advice on any health-related and medical subject. If you want you can buy the SBL medicines from our Online Store www.sblglobalusa.com

Consultation charges are $6 which is valid for 5 days unlimited consultations per patient.
(We also have lady doctor in our medical panel).

Paid Consultation Form

Name/identifier : *

Gender :

Male

Female

Other

Age : *

Height (Cm) :

Weight (Kg) :

City : *

Mobile : *

Email : *

Occupation :

(This is often relevant to your health as are unusual hobbies)

Your general nature :

(Anger, extrovert or introvert, emotional, decision making quality, childhood nature, how you take criticism etc.)

Details about your present Disease/ailments in order of appearance with duration

If you have already seen a doctor, what diagnosis did they give you?

What investigations, tests have you undergone? Please mention the reports and brief treatment history.

Is there anything else that might be helpful or relevant to your problem? including allergies, illnesses that run in the family and a little bit about your lifestyle.

Past History :

(Diseases or symptoms you have suffered in past, with treatment history)

Physical Generals

Which weather you prefer most :

Appetite :

Thirst :

Liking for specific taste/food :

Urine :

Stool :

Perspiration :

Sleep pattern, position during sleep :

Speed (walking, eating, working) :

Sensitivity :

(To noise/ light/ sunlight/ high neck, ties/ narrow places/ closed rooms/ traveling in vehicles/ by air/ perfumes/ dust/ others)

Females

Gynae and Obs history :

Menstrual history :

Age of menarche/ menopause :

History of abortions or miscarriage :

Family history

Name the diseases which your father/ mother/ siblings might have suffered

Anything else you would like to share with the doctor?

Cigarettes/week :

Alcohol units/week :

Exercise sessions/week :

(Please check this is correct.) We respond within 2 working days.

Click on the Submit and Pay button below to send us your form and proceed to Payment Gateway.

Get Updates & Stay Connected

Support International

Add.

SBL House 2, Commercial Complex, Shreshtha Vihar, New Delhi, 110092

Mob.

91-11-43731000, Whatsapp 8851654426

care@sblglobal.in, Export Support - exportcare@sblglobal.in