Appointment Request

Registered Patient

    Case Number*
    Patient's Name*
    Email*
    Contact Number*
    Requested appointment date*
    Patients are hereby instructed that this is only a submission of a request not an assurance of an appointment, until official confirmation is received from the Clinic.Confirmed appointments may be cancelled or changed without intimation to the patient due to emergent situations arising at the practice where the requested doctor may not be available. Patients with a critical Illness and emergent cases are requested to allow themselves to be attended to by the first available doctor as the specifically requested doctor may not be immediately available for care.
    Disease Details
    Please describe your complaintsMaximum 2000 characters
    Location
    Doctor*
    Any doctorDr. Kalyan BanerjeeDr. Kushal BanerjeeDr. Pijush DattaDr. Manisha SethiDr. Kavita Juneja Anand
    Appointments for Dr. Kalyan Banerjee are exhausted very quickly. These are usually booked over one month in advance. It is very unlikely that an appointment will be available if the requested date is very close to the current date. Patients are encouraged to request appointments with an available doctor.
    Doctor*
    Any doctorDr. Kushal Banerjee (first Tuesday of the month)Dr. Manisha Sethi (Every day except Thursday and Friday)
    Doctor*
    Any doctorDr. Kushal Banerjee (once every 6-8 weeks)
    Video Consultation (Please email us all our relevant reports, symptoms, and other details of your illness at least 48 hours before your video consultation appointment.)
    Dr. Kalyan Banerje is unavailable for video consultation


    New Patient


      First Patient Name*
      Second Patient Name
      Email*
      Gender  
      Date of Birth*
      Country*
      State*
      City*
      Address*
      Pin Code*
      Contact Number*
      Requested appointment date*
      Patients are hereby instructed that this is only a submission of a request not an assurance of an appointment, until official confirmation is received from the Clinic.Confirmed appointments may be cancelled or changed without intimation to the patient due to emergent situations arising at the practice where the requested doctor may not be available. Patients with a critical Illness and emergent cases are requested to allow themselves to be attended to by the first available doctor as the specifically requested doctor may not be immediately available for care.
      Location
      Doctor*
      Any doctorDr. Kalyan BanerjeeDr. Kushal BanerjeeDr. Pijush DattaDr. Manisha SethiDr. Kavita Juneja Anand
      Appointments for Dr. Kalyan Banerjee are exhausted very quickly. These are usually booked over one month in advance. It is very unlikely that an appointment will be available if the requested date is very close to the current date. Patients are encouraged to request appointments with an available doctor.
      Doctor*
      Any doctorDr. Kushal Banerjee (first Tuesday of the month)Dr. Manisha Sethi (Every day except Thursday and Friday)
      Doctor*
      Any doctorDr. Kushal Banerjee (once every 6-8 weeks)
      Video Consultation (This should be done for both Registered Patient and New Patient tabs on this page.)
      Dr. Kalyan Banerje is unavailable for video consultation
      Disease Details
      Please describe your complaintsMaximum 2000 characters