Are you suffering from any of the following problems

Present Disease

(Complaint, cause of the complain, duration of the complaint, problem increases or decreases during for eg pain in leg during morning and gets better by pressing )

Past History

[We need to know this because sometimes current problem relates with previous ones] (Any major Illness, Surgery, Accidents, Hospitalization, Vaccunation, Drug Reaction, Animal Bites in the past age which occured)

Personal History

Any Habbits

Family History

(Any disease in your grand parents, parents, any siblings or present in family)

Female History

(Any disease in your grand parents, parents, any siblings or present in family)

Physical Generals

Mental Symptoms

(Your General Nature, Emotions, Understanding, Memory, Fear, lifestyle, Decision making qualtiy, Stress, Extrovert Or Introvert, How do you take critism, Attachment, Any Anxiety)

Life Space

(Family history and social environment in which you live, No. Of friends, how quickly you mix with new people)

Investigations

(If done recently) Upload pictures- of your reports