Home Visit

For the ease of our patients, Physioline offers the facility of “ Home Visit” wherein patients can avail Consultation and Treatment at home or place of stay for international patients.

Home Consultation:- Physioline will arrange for Consultation at home for bed ridden or debilitated patients. Our Chief Consultant will visit the patient at the place of stay at preferred date and time depending on our availability.

Home Treatment:- With the help of digital portable equipments, we will send our Specialized Physiotherapist for the treatment at home. There will be periodic visits of our chief consultant.

Patient Name*

Age (*) (required)

Sex

Occupation*

Chief Complaints

History in your own Words

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Appointment Details

Preferred Home Visit Date

Preferred Home Visit Time

Address

Country*

State

City

Postal Zip *

Phone No*

Alternate Phone Number

Alternate Phone Number

Email id's*

Mobile No

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