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Medical Consultation Form
First Name
Last Name
Email
Phone
Age
Weight
Gender
Select a doctor to consult with.
Select Doctor
Dr. Piyush Juneja
Dr. Naveen Sharma
Dr. Preeti Bhosle
Dr. Chitranshu Saxena
Symptoms you are facing (like chronic pain, anxiety, insomnia, etc)
Mention the name of other medicines currenly taking. Mention none if not taking any.
Do you have any experience of using cannabis in any form ?
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I declare that that the details provided is accurate. I consent to avail consultation via telemedicine. I agree with the terms and conditions of the website.
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