Infertility Treatment Questionnaire - Dr Amit
Before we start…

The success of our treatment plan depends significantly on the right, appropriate information you provide in this questionnaire as well as during the case-history session.

Kindly do not skip any information, considering it as invaluable. You never know what piece of information might be helpful in the treatment.

The information that you will be noting down below will be accessed by Dr Amit Karkare only. The information that you will be providing in this questionnaire will be kept strictly confidential.

Thanks!
Dr Amit Karkare

Please note:
Medicines will be shipped from Swaroop Clinic to you. WE DO NOT PRACTICE 'PRESCRIPTION ONLY' CONSULTATION AND WE DO NOT DISCUSS MEDICINE DETAILS WITH PATIENTS.

FEE-STRUCTURE:

First consultation: Rs 2000 (Case study + Online session + One month medicine + Shipping within India)
Follow up: Rs 1500 (Consultation + One month medicine + Shipping within India)
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