You are advised to contact me (dr.jagrutiodedara) if you find this form confusing.

Ayurveda consultation and herbal medicine is not just depends on symptoms.

Before suggesting any herbal medicine,I need to find out the root cause of disease which cause imbalance in vata,pitta kafa, strength of digestive fire, the immune system and the mental status of patient.

Firstly I will review the patient’s form and if the information is understood than necessary health suggestion are made.if any questions still exits,you are contacted via email or phone for further clarification.

    What is the main reason for the consultation. ie What issues would you like to focus on?

    Are you taking any other medicine regularly? If yes mention below

    Systematic approach
    If you have any problem, explain properly

    1) Digestion System

    2) Respiratory System

    3) Urinary System

    4) Sleeping Pattern & Mental Status

    5) If you suffer with any other sign please mention below