Book An Appointment

By submitting this form you are agrecing to our Privacy Policy, We guarantee not to disclose your information.

Book An Appointment

By submitting this form you are agrecing to our Privacy Policy, We guarantee not to disclose your information.

Before proceeding with your appointment, please read the following carefully:
  1. I understand that this appointment is for consultation purposes only.
  2. I acknowledge that the treatment plan, if required, will be explained to me by the doctor during the consultation.
  3. I agree that online/telephonic consultation cannot replace emergency medical services, and I will seek immediate care in case of an emergency.
  4. I confirm that all personal and medical details provided by me are true and accurate to the best of my knowledge.
  5. I consent to the collection and secure storage of my personal and medical information by the clinic for record-keeping and treatment purposes.
  6. I understand that my information will be kept confidential and used only for healthcare services.
I have read and understood the above information and hereby give my consent to proceed with the appointment.

    -------- Repeat Appointment --------

    --------- Appointment Form ---------

    -------- Select Date & Time --------

    -- Address (for Medicine Delivery) --

    Book Clinic Appointment

    By submitting this form you are agrecing to our Privacy Policy, We guarantee not to disclose your information.

    Before proceeding with your appointment, please read the following carefully:
    1. This appointment is for an in-clinic consultation at Naysma Healthcare.
    2. I understand that this appointment is for consultation purposes only.
    3. I acknowledge that the treatment plan, if required, will be explained to me by the doctor during the consultation.
    4. I understand that the doctor will assess my condition in person and explain the treatment plan.
    5. I confirm that all personal and medical details provided by me are true and accurate to the best of my knowledge.
    6. I consent to the collection and secure storage of my personal and medical information by the clinic for record-keeping and treatment purposes.
    7. I understand that my information will be kept confidential and used only for healthcare services.
    8. I acknowledge that this booking does not replace emergency services, and I will seek immediate care in urgent situations.

    I have read and understood the above information and hereby give my consent to proceed with the appointment.

      -------- Repeat Appointment --------

      --------- Appointment Form ---------

      -------- Select Date & Time --------

      -- Address (for Medicine Delivery) --

      Book Free Appointment

      By submitting this form you are agrecing to our Privacy Policy, We guarantee not to disclose your information.

      Before proceeding with your appointment, please read the following carefully:
      1. Naysma Healthcare provides a limited number of free consultations each month on a first-come, first-served basis.
      2. Free appointments are capped (10–20 per month) and subject to availability.
      3. I understand that this appointment is for consultation purposes only.
      4. I agree that online/telephonic consultation cannot replace emergency medical services, and I will seek immediate care in case of an emergency.
      5. I confirm that all personal and medical details provided by me are true and accurate to the best of my knowledge.
      6. I consent to the collection and secure storage of my personal and medical information by the clinic for record-keeping and treatment purposes.
      7. I understand that my information will be kept confidential and used only for healthcare services.
      I have read and understood the above information and hereby give my consent to proceed with the appointment.

        All free appointment slots for this month have been filled.

        Please fill out the form below to be notified as soon as new slots become available.

        We appreciate your interest and will inform you promptly when openings are released

        --------- Notification Form ---------

        -- Address (for Free Camp etc) --