Patient resources

Case-history forms & clinic resources

Please fill the appropriate case-history form before your first consultation. Detailed answers help Dr. Shailesh and Dr. Rajeshwari individualise your treatment. You can type in your language or tap the mic to speak the form supports English, Hindi and Marathi.

Adult Case History Form

For patients 15 years and above. Covers complaint, past history, family, lifestyle, mind and temperament.

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Child Case History Form

For patients up to 14 years. Covers pregnancy, birth, milestones, behaviour and family history.

Open form →

Your submissions are private and reviewed only by Dr. Shailesh and Dr. Rajeshwari. If you have recent test reports, please WhatsApp scans separately after submitting the form.