Free online consulting services are aimed at making the patient oriented with scope of homeopathic treatment for their illness. We believe that this will help in making decision about starting homeopathic treatment for your chronic and recurrent health problems.

All the below details will help Dr Dhandhukia to study your case and decide the scope of Homeopathic Treatment for your illness. After studying the details Dr Dhandhukia will send you his reply within 3 working days about the scope of homeopathy for your illness.

Please fill the registration form given below and also email all your medical reports, your local doctors comments, your local doctor’s prescriptions, at myreports@homeopathy-drdhandhukia.com , or fax your reports on +91.22.26105795. You can send photographs of the affected parts if it is externally visible like skin lesions, joint deformity, hair loss areas etc at mypicture@homeopathy-drdhandhukia.com

Register Now

First Name *
Middle Name
Last Name *
Date of Birth *	- -
Sex *	Male Female
Address
Email *
Nationality *
Religion*
Marital Status *	Single Married
Home Phone	- -
Work Phone	- -
Hand Phone	- -
Education *
Occupation *
Father’s Age *	years
If father expired mention age at the time of death	years
Mother’s Age *	years
If mother expired mention age at the time of death	years
Spouse’s Age *	years
If spouse expired mention age at the time of death	years
No's of Brother & their Age *	- eg: 2 - 26/25
If brother expired mention age at the time of death	-
No's of Sister & their Age *	- eg: 2 - 25/22
If sister expired mention age at the time of death	-
Number of Children *	Please Mention "00" in case no children
Son and their Age *	- eg: 2 - 30/33
If son expired mention age at the time of death	-
Daughter and their Age *	- eg: 2 - 30/33
If daughter expired mention age at the time of death	-
Write about your illness. Give specific details about the time since when you are having this illness. What is the Diagnosis or name of the illness given or written by the Doctor whom you have been seeing regularly for the illness. *
Write about any other illness that has bothered you in the past or which bothering you simultaneously. Write about any of your family members who are or were suffering from similar illness like yours or any other illness which has been there for longer period * for e.g. Hypertension or Diabetes or Cancer or Asthma or Migraine etc.