Patient Questionnaire

    TRAVEL DETAILS
    DATE OF ARRIVAL IN BANGALORE
    DATE OF DEPARTURE FROM BANGALORE
    REPORTS
    WHAT DOCUMENTS DO YOU HAVE?
    EARLIER VISITS
    HAVE YOU VISITED US BEFORE?
    [group group-919] [/group]
    HEARD ABOUT US?
    IN BANGALORE TRANSPORT AND STAY
    HAVE YOU ARRANGED HOTEL
    [group hotel_name]
    [/group]
    DRIVER
    [group driver]
    [/group]
    ASSISTANCE
    DO YOU NEED ANY PROFESSIONAL ASSISTANCE IN
    BOOKINGS AT HOTELS/SERVICE APARTMENTS
    TRANSPORT IN TAXI WITH PROFESSIONAL DRIVER
    ANY OTHER HELP OR CLARIFICATION OR ADVICE
    WHAT TREATMENTS DO YOU WANT?
    BONE/JOINTS
    NERVES
    OZONE/CHELATION
    STEM CELLS
    OSTEOPOROSIS
    STROKE REHABILITATION
    ANY OTHERS

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