Refer a doctor
By referring a doctor with whom you had a great experience, you can help us expand our network and benefit more patients
Name of the Doctor, City, Specialization *
Please provide the full name of the doctor, city where he/she practices and the specialization
Your answer
Your name *
Please provide your name
Your answer
Your contact phone/mobile number *
Please note that this information will be used only for HGF's internal purpose
Your answer
Your contact email id *
Please note that this information will be used only for HGF's internal purpose
Your answer
Please share the experience you have had with the Doctor *
Try to share as much detail and examples possible here, it will help the cause
Your answer
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