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Request an Appointment

Tell us a bit about what's going on. We'll confirm eligibility, review your request, and follow up by email to schedule your first visit.

Prefer to share your health history anonymously first?

Our Confidential Medical History form lets you fill out a full history with no name, email, or phone number attached — just a reference code you bring to your visit. Many patients fill that out before or instead of the form below.

Which service are you requesting?

Functional Medicine Physiotherapy Both

Where are you currently located? This determines which services we can offer you.

Physiotherapy isn't available at your location

Physiotherapy consultation and treatment is offered only to patients physically located in India, in line with telehealth licensing regulations. You're welcome to continue if you're requesting Functional Medicine only, or update your location if it's incorrect.

Full name

Phone / WhatsApp

Date of birth

Tell us what's going on Symptoms, how long you've had them, and anything relevant to your history.

How would you like your consultation conducted? Choose whichever you're most comfortable with — both are fully supported.

Live video call Text-based email consultation (more private)

Preferred day/time

Your time zone

I understand this request is for a virtual consultation, that service availability depends on my location as stated above, and that this does not replace emergency care.

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Request received

Thank you — we've received your appointment request. We'll review it and follow up by email within 1–2 business days to confirm scheduling.

If you chose a live video consultation, you'll use the same link every time: Join Your Video Visit.