Request an appointment

Complete the form below to request an appointment at AVPRF. An appointment representative will contact you within 24 hours to review your medical information before an appointment may be offered.

If you are having a medical emergency, Call/Whatsapp Number: +91 9790422100.

Note: Consultation Fee is applicable for your booking.

Note: All fields are required unless marked optional.

Note: The Doctors available Date and Times are as per Indian Timezone so please choose your appointment date and time accordingly.

Choose Clinic*

Choose Location*

Choose Doctor*

Choose Appointment Date*

Choose Appointment Time*

Requester Information

Who is this appointment for?*

Patient Information

Please provide patient information as it appears on legal documents.

Have you previously received care at AVPRF?*

Medical Concern

Note: After fill all the fields please click 'Add' button so that you can add more symptoms.

Aggravating factor:
Reducing factor:

Click here to see the example for how to fill?

Present Illness History:

Do you have any Past Medical Illnesses?

Do you have any Past Surgical/Treatment/Medicine History?

Life style:

Psychological State:

Family History:

Do you have any History of Drug Allergies?

Do you have any History of Other Allergies?

Are you following any Diet Pattern?


Do you have any Habits & Addiction?

Do you have Stress?

Are you doing any Exercise, yoga & Medication?

Do you have any Lab Investigation History?

Click here to see the example for how to fill?

Note:If you know or If you previously diagnosed with any diseases please mention here.



Clinical Information

Please upload your clinical reports

Drop your Query (Optional)

Consultation Type

 I have read and agree to the terms of service

Important: After submission, please do not leave this form until you see the confirmation message.

Appointments by Phone

Call our representative via phone and book your appointment.

AVPRF, Ramanathapuram

Call/Whatsapp Number: +91 9790422100

9 AM to 6 PM, Monday through Saturday

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