Get an E-Consultation

Initiate your email-based treatment process by submitting this form.

For setting up a video-consultation appointment please select video consultation and submit this form.

    Patient's Name*
    Email*
    Gender
    Date of Birth*
    Country*
    State*
    City*
    Address*
    Pin Code*
    Contact Number*
    Disease Details
    What is the purpose of this interaction?
    Have you checked the FAQ section?
    Please describe your complaintsMaximum 2000 characters
    Please describe your complaintsMaximum 2000 characters
    Preferred mode of delivery of medicine
    Medicines will be shipped to the address mentioned above
    Select preferred pickup locationDELHI: I - 1691, Chittaranjan Park, New Delhi - 110019, INDIA. Timing: 09:00am to 1:00pm and 4:30pm to 8:00pm. Closed on Thursdays.NOIDA: 264, Block 1, First Floor, Ganga Shopping Complex, Sector 29, Noida. Timing: 10:00am to 01:30pm and 2:00pm to 7:00pm. Closed on Thursdays.GURUGRAM: 2nd Floor, Q 5/13, DLF Phase 2, Gurugram, Haryana 122022. Timing: 10:00am to 1:30pm and 2:00pm to 7:00pm. Closed on Thursdays.